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1987-382 BUILDING PERMIT TOWN No. 87 382 0 WARREN COUNTY , NEW YORK F ca Edward Schadwill ^' y� ti PERMISSION is hereby granted to Hal 31p & 1 ti 1� L Street, Road or Ave_ [NO o~ OWNER of property located at laci.�cr deck.) addition to dwelling ( rep $ n the Town of QueensburY, To Construct or place a her with plot plans and other information hereto filed and i at the shove location in accordance to application toget approved and in compliance with the Town of OueensburV Building and Zoning Ordinance. w 1 . OWNER'S Address is Q RR #5 Box 64 � n Hall Road � tv a 2. ,CONTRACTOR or BUILDER`S Name N 1� Same 3. CONTRACTOR or BUILDER'S Address x N r 4. ARCHITECT'S Name O P 5. ARCHITECT'S Address B- TYPE of Construction . IPlease indicate by X1 [ Wood Frame { I Masonry { y Steel { I 7. PLANS and Svecifications last and application No. Replacing existing Deck per plot p 8. Proposed Use fa Deck added to one mily dwelling $ 10 . 00 PERMIT FEE PAID — THIS PERMIT 'EXPIRES {If a longue period is recl�fdan a �"Catlo"I daan te-) n musr be made to the Building and Zoning inspector of the town of Queensbu V 87 22nd June 19 Dated at the Town of Quaensbury this Day of for the Town of pueensbury SIGNED BY Building end Zoning inspector To BE COMPLETED BY BLDG . DEPT . Application Lao - _ - �] _.,/own of itL�L'IZ3 �ft1`1 Permit Issued 19uE i'4 r_, , gUlLpikVG and ZONING DEPARTMENT Permit Expires 19 E! 1 ! Designation Say and iiauiland Road, R. D. 1 Sox 98 Zoning1- �JV1 q �,i C?ueensbury, New York 12801 Variance No . ---- 1 VI'J .1. r� Site Flan Revi o87 c Approved by : BUILDING lilt �PA� P� qof APPLICATION FOR EU I LD I NG AND ZONING PERMIT ONSTRUCTION . ANSWER ALL OF THE FOLLOWING . A PERMIT MUST BE OBTAINED BEFORE BEGINNING C for a Building Permit to do the following work which will The undersigned hereby applies lans and specifications submitted , and such be done in accordance with the description , p special conditions as may be-indicated-on-the-Permit _--..... _- --_ - --------------------- ---------------------------- r Ck4 12 w . The owner of this property is : W � Tel . CP . O. Address i l -/¢�C��ax Map No . Lk-property Location : , ' ,+ L L I )4 A street number or building lat number Subdivision name ( if appli �7CIN OF WORK A5 REGARDS BUILDING CODES9 S . THE PERSON RESPONSIBLE FOR SUPERVISI 1 O Vo DW " JO 12 JC � W DL-+✓ 1 1 6 Tel . No . Address Name Tel . Address Tel _ Name of builder Address Name Of plumber Tel . Address Name Of mason ZONING INFORMATION : NATURE OF PROPOSED WORK : A PLOT PLAN MUST BE PREPARED AND SUBMITTED , _Construction of a new building * drawn reasonably to scale and attached hereto , ZC�Addition to a building showing clearly and distinctly all buildings , Alteration to a building * whether existing or proposed and indicate all * set-back dimensions from property lines . Give Alt(no change to exterior dimensions) Other work. (describe) street and number or lot number and indicate `Z>L C. X whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE D * of water supply and location and configuration IQCA OF STRUCTURES AFFEC of septic disposal area . COMPLETE INFORMATION REQUIRED r BELOW '' -{-�^ ft . property i ft X Size of pro p ft X ft . *' Existing building ( s) Size * PROPOSED BUILDING AND USE : * Existing building ( s ) Use ft * line ft X * distance from property )(Size of new structure artial/£ull Proposed building , Foundation-pier/ slab/crawl/p * /r/ram c R&Mjt d ft (circle one ) * Front yard / ft and ft No . of tories (habitable space) * Side yards ft Height ( ode to ridge) ft . * If on corner , setback from side street If residen ' al , no . of farms } s__ _�-- OCCUPANCY INFORMATION Na . of rooms { cluding b No. of bedrooms * PRIMARY BUILDING - No . of bathrooms * - one family dwelling primary heatin e'syste ,._� Two family dwelling Number of units Type of fue _,. _—�------ �. Multiple. dwelling / No , of laces to be i tolled * +ye permanent occupancy * Transient occupancy Will wood stove be instal d? Business C ral Air conditioning - * Industrial BUILDING STYLE, PRIMARY STRUCTUR * Other Contemporary Lo 3.n If addition , what will use be? Ranch C - -- -- Raised ranch ion uplex Split level Old s Bungalow * ACCESSORY BUILOTNG- car Cape Cod Co ge * De� ached stage/one car/ two car/ _.� Town HOuse .-�. _ t-rvc7' car/ car Colonial w * Attached garage (. IRCLE ONE PLEASE ) * * Private st!c�Y.'.a�' Ui j-ding * - 1 ESTIMATED MARKET VALUE OF 2 (30 CIO CON STRLJCTIO INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDS Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire sa£e , etc . Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material Depth of foundation below Thickness Will there be a cellar? grade (to bottom o£ footing } 1 . Will there be a basement? Heated or unheated? E!166r s q. footage s { If so , what portion? Will any portion us as living space ? q ft sq. ft . - Type of use Type OF roof - sloped/flatfshedfother Size , wood studs Ft M rial of roof .Toists ( € loor beams ) 1st . floor length ft . p g �•X " s acin Ioists ( floor beams ) 2nd . -floor - r' o c s an Overlays ( ceiling beams ) X spacing "o . c . span ft . Roof rafters ,X —,_ } sp ' ing or0 . c . span ft . spacing o . c , an ft _Roof trusses (pr s e-engineered) ' acinq „ Exterior wall finish o - c . an ft . Interior wall finish Df what r.ial? If a garage is to be attached , describe materials to be u for FIRE SEPARATION : Is there to be an• -opening between garage and dwelling? If door , enclosure, and self closing device be provided? will a Fire-rated Will a flue-lined chimney be installed? Depth of chimney foundation below grade ft * Height above roof . ft . Depth of fireplace hearth ft - in , Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY pri {�+ separate vate well ( including adjoining properties 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 YOR.K I swear that to the best in thi of my knowledge and belief the statements contained application , together with the plans and specifications submitted , are a true and complet statement of all proposed work to be done on the described premises and that all Provision of the BUILDING ODE , THE ZONING ORDINANCE , and all other laws pertaining to the propos d work shall b complied with, whether specified or not , and that such work is authorized the owner SWORN TO BEFORE is day of Owner , owner ' s agent , archicect , contractor - 19 Notary P 1c , Warren unty , N . Y . * * * * * * * * * * * * * * * * * * * * # * * * * * * * * * * * It SPECIAL CONDITIONS OF THE PERMIT ; By TOW14 OF QUEENSSURY k+yENT ODEBV ILDI�'G '6d pAY RaA ENFOgCC QUEEN58URY NY 12604 (510 ) 745t-4447 1NSp REPORT RE5If7E . . . . flunu ,IRS,PEZ,.TTO 'i DATE 1NSPEC'k'1dN REQUEST RECEIVED : N AlkE [�, i3OCATI4N - PS:RMIT DATE111.r- CTURE �.- FRRkfING TYPE 'dF STRU SIy,CiCFILL INsula+'s E'P FOOT"AG'S___,. pOUNDATIs pTIC �-.� OR FIREPI.R.'CS -- V� O i�[OUGki Q�Mg 1NG ---- S'7'O S _ FINAL gL8CTRICAL C k„k E tiE IG V N GH il S G V N ----.' R G 'i S N 'S E F VALV G RA URN C {idT idA R'S INTERIOR R M 1V CY ` INIS FlIA30RS : H [cIT N W A E GLiT © gg FI,O�'jRS S QTkiER FLOORS C g ETE S LItSGS S AIR C E. RAkSC ! d ORS $ KE E H OO S gUUMs N+G V 10N FOLfNUATION NS F 1RE P dOF NG G - - ARAG i g CLOSERS �---- '! FINRL fMCE RE SUgVFIx. ,.,-L T LRN F`_�__. C G.tra OF - � Qom,; �--- e TOWN OF QUEENSBURV BUILDING AND SCODES AY ROADPARTM{ENT 531 QTELEPHONE � ( 518)NEW 0792- 5832 BUILDING INSPECTOR' S REPORT REQUEST 'FOR INSPECTION RECEIVED G1 1 NAME � 1, fl [1 LOCATION `+ RMI PEIT # DATE TYPE OF STRUCTURE" " ' �J�. " nch:t PPROVED RECHECK /A IYESI NO FOOTINGS/ IERS MONOLITHIC POUR ORM REINFORCEMENT IN PLA 7HE CONTRACTOR IS RES ONS LBI E FOR PROVIDING PROTECT ON FROM FREEZING FOR 48 HOURS OLLOWIN THE PLACEMENT OF THE NCRETE MATERIALS FOR THIS PUR OSE 0 SITE FOUNDATION/WALL POUR REINFORCEMENT INPLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN P ACE PLUMBING UNDER SLAB FRAMING : JACK S U S/HEAD R BRACING/'BRIDGING JOIST HANGERS JACK POSTS/MAII AM HEATING ROUGH- IN INSULATION : N ER R- FOUNOATION FOUNDATION W LS EXTERIO RR_ FLOORS R_ WALLS R_ CEILING DUCT WORK R PI I G fN UN EA ED SPACES REMARK ARRIVE DEPART INSPECTOR s , d r A-.L'SrbxO 2 h7 JAW Q ' 3 14 Ilk all q : P ok I : Qw � �i't. 4+C+bW tTR rreC M.�4T.wv'w( s Cause C+ T4 ct_`oE wa b�•-�'i'_ho W wsJ, - �.w S. �a �SU e CL "`+-... � � �- c.a'� �-�, -•—�.. .___--•� �_ ram, �-- 2p ta' � a + p. Yx. 2O.S�p '�. a +r c cr, r o tia C o u tv -�[� se 4` O L C7 F A Y ` `� i Nj i I f I i. l II C f �q I I t i f # E P 3 re k II . I 1 E y I 111' j`(I i { I g I I � it i FPONT OF S-,T i r __-- lae, :X , PONT II ! R ( I � f fi M at GR(7U._N D 31I Sc fid e BO TS I I i I 3 i gat �._�