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1987-275 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-275 f WARREN COUNTY, NEW YORK 13 1 J Robin 3 . Audette PERMISSION is hereby granted to � o- located at Morningside Circle Street. Road or Ave. OWNER of property c. in the Town of Queensbury, To Construct or place a Addition to dwelling (deck) 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. CD F2CONTRACTO ER'SAddren is RD #4 Box 334 :1 Queensbury , New York 12801 R or BUILDERS Name same O r- 3_ CONTRACTOR or BUILDERS Address U4 m Yam• P ra F4. ARCH1TECTOS NameHITECT'S Address 6. TYPE of Construction — {Please indicate by X) 7Q Wood Frame I I Masonry i ) Steel p.. Gx. W 7. PLANS and Specifications r' lication o' 24 ' x.24 ' per plot plan , specifications and app � No. rt C7 S. Proposed Use iP" One-Family Dwelling (deck added) M Y r"y OO $ 10000 PERMIT FEEPAib — THIS PERMIT EXPIRES December 1 19 87 � ra r9 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the � town of Ousensdury before the expiration data.) `f May 19 87 Dated at the Town of Queensbury this 19 t h bay of y* SIGNED BY / h f+.f.{u . &Aoc" `�` for the Town of Queensbury . Building and Zoning Inspector Op TO BE COMPLETED BY BLDG . DEPT . CC�'� // Application No . OWN CAS- /pfult GiItPQit 3hR�I f Permit Issued 19 (ail BUILDING and ZONING DEPARTMENT Permit Expires 19 L�s� LS 1� Bay and Haviland Road, R. Q. 1 Sox 98 Zoning Designation_ �� q 1987 Oueensbury, New York 12801 Variance No . /L/ .t Site Plan Review No . / <,4 y _ j Approved by : �iWLD1NC! a C4DE DEP APPLICATION FOR Oi 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 ; go & " P . O . Address_ IC .Y� 33�! M ads ► y u� �' ` $ el . "t # 2� �-lGiie ia+_ Property Location : f'i Tax Map No . Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION Or WORK AS REGARDS BUILDING CODES IS ; .� , Name O . Address Tel . No . Name of builder Ar4 Address Tel . Name of plumber Address Tel . Name of mason Address Tel . NATURE OF PROPOSED Wt'IRK : ZONING INFORMATION : Construction of a new building A- A PLOT PLAN MUST BE PREPARED AND SUBMITTED , \/Additi.on to a building locrCWVN drawn reasonably to scale and attached hereto , Iteration 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 . Z. L4 x 2. 4 COMPLETE INFORMATION REQUIRED BELOW . Size of property_T�/- � w` ft X 00 ft _ Existing buildings) is�— 4 ft . 4 6'4*iz, PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new ucture _ £t XZ, ft Foundation- ie /slab/crawl/parties /full Proposed building , distance from property line (circle one ) Front yard r , £t Rear yard J .7�ft No . of stories (habitable space) Side yards ft and fit 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 pRIMBRY BUILDING - No . of bathrooms One family dwelling Primary heating system Two family dwelling Type of fuel Multiple dwelling / Number of units Now 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 Contemporary Log cabin Sia If addition , what will use bet 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 cars'' two car/ car * * * * * * t * x * * * * * Private storage building ESTIMATED MARKET VALUE OF .Other CONSTRUCTION $ � _ "_ XC�s�U_G'C' _ _ _ _ _ INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATTON CONTINUED - BUILDING SPECIFICATIONS : Type of construction , od frame fire safe , etc . ..,� � 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 } ZJ i Will there be a cellar? Heated or unheated? Floor q. footage s ft Will there be a basement? Will an q y portion be used as living space? ( If so , what po sc�, ' sq . ft . - - Type of use? Type of roof slo ° � flat/shed/other Material of roof [g Size , wood studs"x 9-: " spacing ^o . c . Length £t . — Joists ( floor beams ) 1st . floor _� ;! spacing ofo . c . span Z Et , Joists { float beams} 2nd . floor "X " spacing "o . c , spanft . erlays (ceiling beams ) "X of spacing "o . c . span ft . of rafters �� "X '" spacing ( 0 . 0 . spa&- dCft . Roof trusses (pre-engineered) spacing "o . c . span ft . 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 queen sbury 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, whe her specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature _ -- -__ "tom,_- - � �r Owner , owner ' s agent , arcriitect , contractor Notary Public , Warren County, N . Y . all x * * x * * * * * * tr * * * * x * * s, * * x * * It It * x * * * * * * 3r * * x * x * * x SPECIAL CONDITIONS OF THE PERMIT : Tp;VI3 OF QUEENSl3URY AND �`C� BUILDING CODES DEPARTMENT BAY IS HAVILAND ROADS I280& 12UEENSBURY. NEW YORK TELEPHONE ( 518 ) 792- 5832 WILDING INSPECTOR' S gEPO3RT REQUSST FOR INSPECTION RECEIVEDI NAME LOCATION ++ PE DATE (n APPROVED YES NO FOOTINGI P,rrRS FORME �~ MONOLITHICU �PROdFING�� FO.NDATIOXIDAM BACKF APPROVAL ROUGH MBING FRAMING ELECTRICA ROUGH-IN ,NsuLATION: -- FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING _ EXTERNAL PORCHESIS ILS STAIRS-CLEARA EF VALVE PLUMBING FIXTURESIR INTERIOR TR�g RIV C DOORS FINISHED GARAGE FIREPROOF G DOOR CLOSER (S) SMOKE DETECTOR Il7SPECTIO FINAL ELECTRICA �- FINAL APPROVAL F CONSTRUCT A SIGNED CER IFICATE OF OCCUPA y MUST BE OBTAINED F SESTHE BUILDING DEPA TMENT BEFORE THESE REMARKS: INSPECTOR _70wn of Qjeen 11 " 0,!!' BUILDING and ZONING DFPARTM1ENT 'Bay and Haviland Road. R.D. i Box 98 ()ueensbury, NeW York 12801 5UILDING INSPECTOR ' S REPORT NAME LOCATION .. �.,. _ No ' / Permit . d "7 Date * * * * * * * * * * y * *APPROVED YES NO F.doting/pier Forms Foundation Waterproofing Backfill Framing Rao f ing siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile concrete Floors�_�� Plbg • Fixtures_._----�- �-- Gar . Fireproofing Door Closers smoke Detectors ChimneY IN SUJ ATI ON Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION��_ .. DRIVEWAY APPROV -� Final Building Survey led inspection ( call when ready ) Next sche Remarks- &,woe, Building Inspector 6f86 and-vl =ro4=gcW=YwSmitti Company L Serving New England Architects since 1891 James H . Mail Offices and Exhibit Areas 470 NO. MAIN STREET 75 BROADWAY E. LONG MEADOW, MA 01028 MORTH HAW EN, CT 06743 ARCHITECTURAL REPRESENTATIVE nn Residence y,m�p, ..r-- .1 + 146 DASCOMB ROAD 1 '$00.225-7912 1 w$OQ•892-0548 Palmer Rd., Box 2510 .ilc-nP (Route 99 - Exit 42) (tram outsides MA) (from within MA) E- Greenbush, MY 12061L-- ANDOVER, MA 011110 (518) 471-4105 COMMERCIAL - RESIDENTIAL DATE JOB Wr A + i f I [ r N t � NV N �1 Y fill V# 1 —li k a s� ;k z t n X ,I- n uarla�fe to serve you wild Tuo(yel prices, �inclow 1� elcat�'nc�7 crnc� c�pec uriliny ENTRY DOOR SYSTEM Andersen "Rain Sensitized" .t Wood and Steel Automatic Closing Q Dinged French Patio Doors ROOF WINDOWS Br4p4=Kvvny-Sm1t" Cemnnpmny Serving New England Architects since1891 Offices and Exhibit Areas James Ho Stall 470 M0, MAIN STREET 75 BROADWAY E. LO NO EAOOW, MA 01025 NORTH HAVEN, CT 06743 ARCHITECTURAL REPRESENTATIVE Residence 146 DASCOMB ROAD 1 m$0Q-225.791 2 1 .800-892-0548 Palmer Rd.. Box 251D w (Route 93 - Exit 42) (from Outside MA) (from within MA) E. Greenhush, NY 12061 �ANDOVER, MA 01610A (518) 477-4105 COMMERCIAL RESIDENTIAL �✓'' DATE {' N rj Woo S 0 o J vaifal fe for serve _ ou 4w ucfgef J rices, 7 r9indow Delai rig ancf c3pec err"lxnryr ENTRY DOOR SYSTEM Andersen "Rain Sensitized" Wood and Steel Automatic {Closing Hinged French Patio Doors ROOF WINDOWS Brtocicway-arnitrt Gornpimny a Serving New England Architects since 1891 Stall s� r ©Vfices antl Exh7bn Areas James H .. V all 470 NO- MAIN STREET 4 ;]r 75 BROADWAY E. LONGMEADOW, MA 01028 . . NORTH HAVEN, CT 86743 ARC HITEOTURAL REPRESENTATIVE 0 Respdence i46 DA SCOMB ROAD '14004!254912 1 -800'892.0548 Palmer Rd., sax 25fD (Routo 93 - Exit 42) (from outside MA) (from within MA) F. Greenbush, NY 72061 ANDOVER, MA 01$70 (518) 47T-4705 COMMERCIAL - RLS.4OEHTIAL DATE JOB _t, ^ ti r tf dCp G r � ia■ar C S' f" a .Wuaz a46 e to se-roe you wrIA 23uofyel 5 vices, {.Y)jj7 (3ru DelathnJj and c5pec &.),riliny ENTRY DOOR SYSTEM Andersen "Rain Sensitized" Wood and Steel Automatic Closing, Hinged French Patio Doors ROOF WINDOWS