1987-289 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87- 289
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert F . Dean
91
30 Park View Avenue Street, Road or Ave. `"
OWNER of property located at H
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in the Town of Queensbury. To Construct or place a Addition to g ftl
at the above location in accordance to application together with plot plans and other information hereto filed andtv
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
D
t , OWNER'S Address is 40 Park View Ave .
Queensbury , New York
2. CONTRACTOR or BUILDER'S Name salve
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3. CONTRACTOR or BUILDER'S Address H
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4. ARCHITECT'S Name d
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5. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X)
(X) Wood Frame { I Masonry i ( Steel { }
7_ PLANS and Specifications p�
34 ' x2O ' per plot plan , specifications and application
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B. Proposed Use o
Two-Car Detached Garage (storage area added) �
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5 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES — npr 19 M
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{lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.) On
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Dated at the Town of Oueenshury this 28th Day of — May Zg---$
SIGNED BY eI�' ► ^' for the Town of Queenstaury
Building and Zoning inspector
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TO BE COMPLETED BY BLDG & DEPT .
Applic
tion
�Jtiwn IQ ilBen36ur[ Permit aIssuedo . 19 i �Ec�:1�rS� � .r}
BUILDING and ZONING DEPARTMENT Permit 'Expires l9 � lV!
Say and Haviland Road, R. D. 1 Box 98 zoning Designation ' it
Queensbury, New York 12801 Variance No * lWAY 21
Site Plan Review Noe !
�` Approve by : �44 BUIL17p1N� CQ+DE pEp7:
APPLICATION FOR
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 : Robert Fe Dean
P. O. Address 40 Park. View Ave Glens Falls , NY 12801 Tel .7930794
Property Location ; 30 Park View Ave . 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 :
Robert Dean 7930794
Name f� P . O. Address Tel . No .
Name of builder &2Z Addressu �11, ' Tel .
Name of .plumber ___ _Address Tel .
Name of mason �i �;�� �-,y�+� W Address
Tel _
NATURE OF PROPOSED WORK : ZONING INFORMATION :
_Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
xx 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 .
I plan to remove 2 old storage
shed* . COMPLETE INFORMATION REQUIRED BELOW *
Size of property 152 A ft X 200w ft .
* Existing buildings ) Size 2A_ ft Xft
PROPOSED BUILDING AND USE : * Existing building ( s ) Use gavage
Size of new structure
Foundation-pier la ycrawl/partial/full * Proposed building , distance from property line
(circle one)
* Front yard ft Rear yard 2A ft
No . of stories (habitable space) 1 * Side yards 07 ft and ft
Height ( grade to ridge ) 12 , ft ' If on corner , setback from side street ft
If residential , no . of families �
No . of rooms ( excludi.ng baths ) OCCUPANCY 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 garage
Ranch Contemporary Log cabin
If addition , what will use be?
Raised ranch Mansion Duplex misc . storage- lawn mower-etc .
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
* * * * * x * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION qQ((w Q/ryry
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 . wood frame
Will any second-hand or ungraded lumber be used? If so , for what ? A10
Foundation wall material concrete Thickness 40r- lc
Depth. of foundation below grade (to bottom of footing ) 244+
Will there be a cellar? `0 Heated or [unheated'; Floor sql footage 2g{} sq ft
Will there be a basement? :I Will any portion be used as living space ? A/4)
( If so , what portion? _ s €t . - - Type of use?
Type of roof - to e flat she other. Material of roof metal
Size , wood studs 2 "X 4 spacing .L "o . c . length 8 ft .
Toists ( floor beams) 1st . floor NIX to spacing "o . c . span ft .
.Ioists ( floor beams ) 2nd . floor "X „ spacing "o . c . span ft .
Overlays ( ceiling beams ) 2 "X � spacing ]a26f "o . c . span i & . ft .
Roof rafters 2 "X S „ spacing 15 o , c . span '.4 ft.
Roof trusses (pre-engineered) spacing "o . c . span ft .
Exterior wall finish CP* a/ shingles Of what material ? St��.rsC ? xis%. C -r-J ?gc5
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? /yc� 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 O-V 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 - .► �day of lg -
Owner , owner ' s agent , archxrect, contractor
Notary Public , Warren County, N . Y .
* * * * * * It * * * * * * * * * * * * * * * It * * t * * * * * * * * * * * It
SPECIAL CONDITIONS OF THE PERMIT :
By
Y
RY
UI L G QD CODES DE
BUILDING AND CODES DEPARTMENT
BAY & HAVTLAND ROADS
QUEENSBURY� NEW YORK 12809-
TELEPHONE (518) 792-5832
BU I La I NG INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED -/ v
NAME --y� �L — FJ / /
LOCATION _ L ) �� f G�
DATE PERMIT
/ APPROVED
NO
FOOTINGIPIERS
MONOLITHIC POUR FORMS
FOUNaDAT-ro N/DAMP—PRooFING
B ILL APPROVAL my
ROUG PLUMBING rf
FRAM T
ELECTR AL ROUGH—IN
TNSL7LATT
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FOUNDAT N
FLOORS
WALLS
CEILING
6.F NAL INSPECTTON. ., r
CHIMNEY HEIGHT t" —
ROOFING * >
SIDING [
EXTERNAL PORCHES/ST P
STAIRS—CLEARANCE 6 IL$
PLUMBING FIXTURES/ ELTEF'`:_VALVE
TNTERTOR TRIM/PRT CY67Ra
FINISHED FLOORS
GARAGE FIREPROOF NG
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL CONSTRUCTION
A SIGNED CERTJ CATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT .BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS.
- At�
IN,SPML7TOR
:70cun o/ Q14eens6terY
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING JNSPECT RIS REPORT
NAMEip tvAl
d
LOCATION ,3[� Rye'
Date 1 �'_ Permit No .
✓ = APPROVED -- Y NO
Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Values
Ext , Porches
Finished Floors
Interior Trim
Stairs & Railings NL
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION *
Foundation
Floors
Walls
Ceiling
FINAL. ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks-
Building Inspector
6/86 and-vl
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