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1987-273 BUILDING PERMIT TOWN OF QU E ENSBU RY No. 87-273 WARREN COUNTY, NEW YORK f^+ (/�^y1/,' 11 ro PERMISSION is hereby granted to Ernest Alden m Qr* OWNER of property located at 1 L7 Li Luzerne Road Street, Road or Ave. � a in the Town of Queensbury, To Construct or place a Alterations to garage t- P- at the above location in accordance to application together with plot plans and other information hereto filed and M approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t . OWNER'S Address is RD # 3 Luzerne Road Queensbury , New York 12801 r� G 2. CONTRACTOR or BUILDER'S Name same tt SU O W 3. CONTRACTOR or BUILDER'S Address a• 4. ARCHITECT'S Name 5. ARCHITECT'S Address 9 rt ra ri N B. TYPE of Construction — (Please indicate by X) rr Y• O ( NJ wood Frame I ) Masonry I ) Steel { 1 G un rt O [8. PLANS and Specifications oc No. repair to garage after tree fell per specifications and application w ao rn Proposed Use Garage $ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES Dec . 1 19 87 (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 axpiration date.) Dated at the Town of Queensbury this 18th Day of _ May 19 87 SIGNED BY � � for the Town of Oueensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT & �] / Application No . T(DWN OF ,lGrwn of Uee" .3 "ry Permit Issued lg N !1 �t ! L; _ BUILDING and ZONING DEPARTMENT Permit Expires 19 It % W Say and Haviland Road, R. D. 1 Box 98 Zoning Designation MAY 141987 oueensbury, New York 12801 Variance No . Site Plan view No 1 13. )ILDING Oc C:ODlr DEPT. Approv © p�C?..-�. �7 Al � APPLICATION FOR a 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 : K_r�"IIII Tell P . O. Address / u` Tax Map No . / f Property 'Location : ` fG-�K-� Street number or building lot number Subdivision name (if applicable) THE PERSONr RES'�ON $ E FOR SUPERV IS Qr� /w/ORK AS REGARDS BL]ILDIN�G� CODES IS : r • ,�•�.j` T K' -� 1, le r �//11 f �,L e�, . P . O. l . No . Address Te Name � , Name of builder/ {"�� "J� /1 , �/ - i �,ddress_�IwwI/ rI � � X ar Tel . Name of plumber Address Tel . Name of mason '�.'Lr L'+'• ; '" Address c Tel . , tj 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 , lditions3n to a building e * � "^II * showing clearly and distinctly all buildings , � (no change to exterior d� ns�ons ) e � F whether existing or proposed and indicate Give Other work (describe) set-back dimensions from p rty - — * street and number or lot n er and indicate * whether interior or corner ot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and locatibs�w and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . _� �• * COMPLETE INFORMATION REQUIE BELOW Size of property ft X ft . * Existing building ( s) Size ft X ft . * PROPOS D BUILDING AND USE : * Existing buildings ) Use e A:1re Size of AFT- structureft Xr ^ft distant from property line Foundation-pier/slab/crawl/partial/full * Proposed building , * ft ( circle one ) * Front yard ft Rea yard No , of stories (habitable space) * Side yards ft and ft Height (grade to ridge ) l �/ ft , if on corner , setback from side slIxeet ft If residential , no . of families -- * OCCUPANCY INFORMA,TI� No . of rooms ( excluding baths ) _------ * , Cif Now of bedrooms PRIMARY BUILDING - Now of bathrooms - * one family dwelling Primary heating system v * Two family dwelling Type of fuel ---- �� Multiple dwelling / mb of its * 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 Ranch Contemporary Log cabin * If addition , what will use be? Raised ranch Mansion Duplex * Split level fd style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Town House Detached garage/Mu33!n/q two car/ car Colonial Row car { CIRCLE ONE PLEASE ) *Attached garag ar two car - _ * Private storage t ESTIMATED MARKET VALUE OF other * CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONSr ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED : Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUER BUILDING SPECIFICATIONS : ,rr rr Type of construction , wood frame , fire safe , etc . L� user�� If a fI t , fCaC �� ;�}it�r , '�f 1• �/� s t+ Will any second-hand or ungraded lumber be so for what ? C �c3 : l� : ✓ o . S -fS -t r, r t_ rZrL �csr�'� w �� t r Foundation wall material Loqc , t3lI a Thickness � z � Depth of foundation below grade (to bottom of g ) i_.- L2 .a footin _ f Will there be a cellar? t _ �,I_Heated or unheated? _------, Floor sq . ftrotag Will there be a basement? „3 —Wall any portion be used as living space ?( If so , what portion? sq „ft . _ _ Type of use? Type of roof - sloped/flat/shed/other p ] c Material o£ roof / Size , wood stud r rr +, A 12 Kam._ spacing o _ c . length � ft . Joists ( floor beams ) 1st . floor Joists ( floor beams) 2nd _ floor spacing "oy - gpa�— -•—£t. Overlays (ceiling beams ) lox �n ,+ A p S" ,+ ��/ - _ -,t�- sacing O . c . span tie ft. �Roof rafters "}C-�„++ spacing Roof trusses (Pre-engineered) s acin + x7 a. span. Exterior wall finish y,l `► , Of what material ? Interior wall finish . If a garage is to be attached Je , //describe materials to be used for FIRE SEPARATION : 5� ■ s Is there to be an ope lung between garage and dwelling? N � _ If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed.? _ Height above roof Depth of chimney foundation below grade _. -_t - '- - � Depth of fireplace hearth €t . ert� Water supply - Municipal or private well SEPTIC SYSTEM i Distance from ANY private well ( including adjoining properties —Yt � (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren A F F 1 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 authorized by the owner , work is SWORN T6 BEFORE ME THIS Signature LIe .c .! let day of 19 Owner , owner ' s agent , arcnzrect , contractor � Notary Public , Warren County , N. Y . SPECIAL CONDITIONS OF THE PERMIT : w �Jouvn Of Q"eeres ury BUILDING and ZONING DEPARTMENT Bay and Haviland Read, R.D. 1 Sox 98 Queensbury, New `fork 12801 BUILDING INSPECTORS REPORT NAME & . G LOCATION LV Date /. Permi t �l No . - n+ 7. * * * * * * * * *0I s APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Back£ ill ,(Framing Roof in g 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 INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV Final Building Survey Next scheduled inspection (call when ready ) M1 Remarks- "Lk "t-0, Y r' f„i, I//•y�"/��,/f��/�{/��/yam/ Piuilding Inspector E/86 and-vl >r a Z_ Vfi t r i r _ - - ; y I - 1 , 4 CE coo qi _. I d L E _i � < - 1- d I t ids e. -