1987-314 BUILDING PERMIT
TOWN OF QUEENSBURY No_ 87-314
WARREN COUNTY, NEW YORK
PERM [SS10N is hereby granted to Michael J . Graves
OWNER of property located at 38 Winter teen Road Street, Road or Ave.
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one-Car Detached gara � h
in the Town of Queensbury, To Construct or place a ge s
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at the above location in accordance to application together with plat plans and other information hereto filed and to
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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EARCHITIECT�S
dress is 38 Wintergreen Road ;
Queensbury* , New York 12801
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R or BUILDER'S Name Leone Construction CO -
3. CONTRACTOR or BUILDER'S Address 428 Saratoga Road
South Glens Falls , New York
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"S Name'S Address 7d
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6. TYPE of Construction — (Please indicate by XI
I Ri Wood Frame i ? Masonry I ) steel I l
7. PLANS and Specifications G
14 ' x24 ' per plot. plan , sgecaficatiQns and application and Var . 1240
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One—Car Detached Garage `A
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January 1 19 88
$ 5 , 0Q PERMIT FEE PAID — THIS PERMIT EXPIRES ,i
Ill a longer period is required an a{aplication for an extension must be made to the guikling and Zoning inspector of the OQ
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town of Queensbury before the expiration date.) CD
Dated at the Town of Queensbury this 3rd �y�-i�''D,ayy of 3unee 19 87
SIGNED BYJ�uG— d` o for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEFT .
c� Application No * TOWN Ut- QUjEE qSE....
_Down o �"eenjimry Permit Issued 19
BUILDING and ZONING DEPARTMENT permit Expires 19 1 l►J ( ; j
Say and F-kawikand Road, R. D. 1 Box 98 zoning Designation Y"�
Queensbury, New York 12801
Variance No . �A'/ 2
Site Flan Review No .
- `f Approved b R 8U[1yL,rD1 Ca dk COODE DEPT.
APPLICATION FOR
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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 .
[Yr The-owner-of this property is , ---_ f � 4 Y
P . O . Address { e el T . $ O �
II Tax Map No .
Property Location : tiY14P� / /
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : r Q
gAk
Name �+� P . O . Address Tel . 07-��'
Tel . No .
I� Name of builder C.G Address
Name of plumber Address Tel '
Name 'i Tel
of mason . a
NATURE OF PROPOSED WORK : ZONING INFORMATION :
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SuBMITTEDr
4IA 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 wor C esc i ) 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 ft Xft .
* Existing buildings) Size ft X ft ' 1
PROPOSED BUILDING AND USE : * Existing buil g (s ) Use t
* $
Size of new structure y ft x ft erty line
Foundation-pier/slab/crawl/partial/full * Proposed buildIng ,/ distance from p p450 / ft
(circle one) Front yard ft Rear yard
No . of stories (habitable space) ,� Side yards { �ft and £ �
Height ( grade to ridge) /2 -- ft « * if on corner. setback from side street ft
If residential , no . of families * OCCUPANCY INFORMATION
No . of rooms ( excluding baths )
No . of bedrooms * PRAY BUILDING -
No . of bathrooms * y/ one family dwelling
Primary heating ftem * Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No . of fireplaces to be insta led * Permanent occupancy
will a wood stave 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 Old style Bun
Cape Cod Cottage �� * ACC ORY BUILDINGa -�
Colonial Row own House * Detached garag one car wo car/ ( oar
( CIRCLE ONE PLEASE )
* Attached garage ar/ two car/ car
Private storage building
ESTIMATED MARKET 'VALUE OF * _ Other
CONSTRUCTION - i20
INFORMATION ON BUILDING SPECIFICATIONS ! ON RETVERSE SIDE OF THIS SHEET$ TO BE COMPLETEDI
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of construction , Wood frame , fire safe , etc . (. 194>0
Will any second-hand or ungraded lumber be used? If so , for what ? ,/Nr
Foundation wall Material Gl'r,r I}'r Thickness � ,K /f�, eiv *G
Depth of foundation below grade to bottom of footing )
Will there be a cellar?g.� sHeated or unheated? .� Floor sq. footage -Will there be a basement? _�Q_W±ll any portion be used as living space? g ft
( If so , what portion? sq . ft . - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size , wood stud s`„X^C spacing is oc . length - �ft .
Joists ( floor beams ) 1st . floor "- ��
Joists ( floor beams ) 2nd . floor „ spacing '�o . c . span ft .
X spacing Overlays (ceiling beams ) x s acin o . c . span ft .
'*
Roof rafters "x n " — -�r p g o . c . span left.
spacing p . c . span_11 �fto
Roof trusses (pre-engineered) spacing "o . c . span ft .
Exterior wall finish qf' Of what material?
Interior wall finish * F• a � . , 4If a garage is to be att ched , descrlbP7 materials to be used for FIRE SEPARATION :
7 LR2
is there to be an opening between garage and dwelling? A. If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof n/
Depth of chimney foundation below grade ft , ft '
Depth of fireplace hearth 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 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 o not, and that such work is
authorized by the owner .
c--
SWORN TO BEFORE ME THIS
signature _ _ _ _
Owner , owner ' s _ t , aronztect, co tractor -
day of 14
Notary Public , Warren County, N . Y .
* * * * * It * * * At * * * * * * * * * * It * * * * * * * * * at * * * * * It It
SPECIAL CONDITIONS OF THE PERMIT :
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518 ) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /!/w' . ^JC2=0p�/� '' "C�'_ Ci�f.. a2
LOCATION -� �`� ,ry /
DATE -- PERM T #� / �/
APPROVED
YES NO
FOOTINGIPIERS
MONOLITHIC POUR FORMS
FOUNDATTOXID P—PROOFING
BACKFILL APPOVAL
ROUGH PLUMBING.
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
NAL
NAZ IN INSPECTION:
CHIMNEY HEIGHT
RooFrNG
SIDING
EXTERNAL POI.'CHES/STEPS
STAIRS—CLEARANCE &' RAILS
PLUMBING FIXTURES� RELIEF VALVE
INTERIOR TRIM,/p"VACY DOORS
FINISHED FLOORS
GARAGE FIREPROO, ING
DOOR CLOSER (S1
SMOKE DETECTOR
FINAL ELECTRICAL INSPECTION ---
FINAL APPROVAL F CONSTRUCTION
A SIGNED CERTI CATE OF OCCUPANCY MUST BE
OBTAINED FROM E BUILDING DEPARTMENT BEFORE
THESE PREMISES RE OCCUPIED!
REMARKS:
L/ INSPECTOR
f 1 0Wn O UL
UL BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING I NSSPECTOR ' S REPOR
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NAME
LOCAT 1 ON
Date- tLzPermit r3a . 1 � • I
N Q
APPR4� -
ffL �rfii C EIA< i
Foating/''Pler Forms
Foundation
Waterproofing
Backf ill
Framing
Roofing
Siding
Masonry Veneer
Rough plumbing
Relief Valves
Ext , Porches
Finished Floors
Interior 'Prim
Stairs & Railings
`rCellar Drain Tile �_..
A Concrete Floors_ �—
lbg . Fixtures
Gar . F i reproof ing ---
Door Closers
Smoke Detectors
Chimney
INSULATION :
Fc3 un d a t i on
Floors
Walls
Ceilinq
FINAL kLECTRI. INSPECTION — �-
DRIVEWAY APPROVAL _ ---
Final Building Survey
Next scheduled inspection (call when/ ready
Remarks- i ,
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Piuil Ing inspector
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