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1987-329 BUILDING PERMIT TOWN OF +QUEENSBURY N©. s7-329 WARREN COUNTY, NEW YORK PERM ISSIf1,N i ereby gr N Rob rt ruchian OWNER of property located at Route 9L Dunham ' s Bay {former MauntainsideStreet, Road or Ave. Grange ) in the Town of Queensbury, To Construct or place a One-Car Detached Garage for boat storage r:: 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. pH. T_ OWNER'S Address is Box 1179A RR #1 Lake George , New York. 2. CONTRACTOR or BUILpERS 4 Marne z same m w N 3. CONTRACTOR or BUILDERS Address same m w 4. ARCHITECT'S Name Yu '-C 6_ ARCHITECTS Address 6. TYPE of Construction — (Phase indicate by X) ( I Wood Frame ( l Masonry ( ) steel 1 . 1 7. PLANS and Specifications No. 34 ' xl5 ' per plot , specifications and application m r� m 8. Proposed Use One-Car Detached Garage for boat storage y ro 00 m M O $ 5 ` 00 PERMIT FEE PAID - THIS PERMIT EXPIRES January 1 tg 88 cr llf a to 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_} 03 rs Dated at the Town of Queensbu this 5th o rY Day of June }g 87 ///r7 Q f,_,{ 4 Dh ro SIGNED BY for the Town of Queensbury Building and Zoning Inspector �] /� TO BE COMPLETED BY BLDG . DEPT. �JobF✓n e7 �rpFyt3G►f�pf Application No .Permit Issued 19 TO'WN OF QUEENSB . BUILDING and ZC7NiM1IG DEPARTMENT Permit Expires 19 1 Bay and Haviland Road, R. p, 1 Box 98 Zoning Designation ,o! + -- 1,�7IN j York 12801 Variance No. — JUN �9v�7 ueensbury. New 0 r `�� � Site Plan Review No . __--- - Approved by ' BUILDING 8c CODE DEFT. APPLICATION FOR FUILDING 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 . J11 The owner of this property is : / - ' /a /2 G,c r t C5- F . O . Address / / A Tel . � Property Location : ( - ZZ- y: Tax Map No . Street number or building lot number Subdivision name (if applicable) THE PERSON RESPON,rSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O . Address - Tel . No . -- Name of builder__ _ _? Address Tel Name of plumber_ _ WOWMAddress Tel . Name of mason --- Address Tel * NATURE OF PROPOSED WORK : * ZONING INFORMATION : F Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , 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 FOR DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot . Show location LOCATION OF STRUCTURES AFFECTED . of water supply and location and configuration of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of property €t X ft . Existing buildings) Size ft X ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure 3�f> ft X / b�ft Foundation-pier/slab crawl/partial/full * Proposed building , distance from property line circle one ) No . of stories (habitable space ) Front yard ft Rear yard ft* Side yards ft and ft Height ( grade to ridge ) / S ft .If residential , no . of * If on corner , setback from side street ft families No . of rooms ( excluding baths ) ,_ * OCCUPANCY INFORMATION No. of bedrooms _ __ No * * PRIMARY BUILDING Primary of bathrooms "���+ k _ * �-CS•ne family dwelling Pmary heating system c Type of fuel * Two family dwelling dwellin No . of fireplaces to be installed '" Multiple g / Number of units .� '?rt ,i, Permanent occupancy Will a wood stove be installed . r eR * Transient occupancy Central Air conditioning? , ,, * Business BUILIING STYLE , PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * • If addition whap will use be? Split level Old style Bungalow - Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * V Detached garage one car/- . wo car/ car ( CIRCLE ONE PLEASE ) * Attached garage f two car/ car Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION $ f INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEETr TO BE COMPLETED ! Form BPA 4/86 and-vl r.S SSG BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : r Type of construction , wood frame , fire safe etc . LA "aa w4 t*� Will any second--hand or ungraded lumber be used? if so , for what ? Foundation wall material & Thickness Depth of foundation below grade (to bottom Doting ) Will there be a cellar? Heated or heated Floor sq. footage sq ft Will there be a basement?.-z,.� Will any portion be used as living space? � , ( If so , what po ? sq. ft . - - Type of use? Type of roof slope flat/'shed/other Material of roof c , Site , wood Stu a nx n spacing 1 G . "o . c . lengthft. Joists ( floor beams ) lst . f oor six " spacing "o . c . span ft , „ Joists ( floor beams ) 2nd . floor "x " spacing "o . c . span. ft . overlays (ceilin beams ) "l "x spacing "o c . span ft , Roof rafters " x '�'s'pacing /G o . c , span l Pt. Roof trusses (pre-engineered) spacing "o . c . span ft , Exterior wall finishu�.-4 , P -� 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 . ,�d,`_GDepth 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 1rlepTair or new installation of septic system) Town of f Warren A F F I D A Y 1 T STATE OF NEW YORK County of Warren 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 __ _ ___ Owne , owner ' s agent , archir ect, contractor day of 19 Notary Public , Warren County, N . Y . Ar SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT V BAY & HAVILAND ROADS pUEENSBURY, NEW YORK 12801 TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR .INSPECTION RECEIVED NAME 1L LOCATIOAg: a; < ��►} nr rrn a� ,..— DATE _ .._ .. /yL~EJ +yr PERMIT # S, APPROVED LJ - YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH -PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: •.. CHIMNEY HEIGHT ROOFING PK SIDING ' EXTERNAL PORCHES STEPq STAIRS—CLEARANC4r & RAXI%S PLUMBING FIXTUkES/RELIEVALVE INTERIOR TRIM/�RIVACY DOC*S FINISHED FL400 'S GARAGE FIRED OOFING DOOR CLOSER ) SMOKE DETEC ORS FINAL ELECTR CAL INSPECTION FINAL APPRO L OF CONSTRUCTION A SIGNED C RTIFICATE OF OCCUPANCY MUST BE OBTAINED F ON THE BUILDING .DEPARTMENT ,BEFORE THESE PREMISES ARE OCCUPIED! REMARKS . pv r 3 +• rr� .•f' r� t 1 INSPECTOR �iotvlt o� �,I� FFrt3Erue`t� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R, D. i Box 98 aueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME :--77 f-L LOCATION Date-./al- Permit No . -yi as -I- r APPROVED - 'YES NO Footing/Pier Farms Foundation Waterproofing Backfill X Framing Roofing 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 I N SU I .AT I ON Foundation Floors Wal1. s Ceiling FINAL ELECTRICAL INSPECTION _. DF,TVEWAY APPROVAL � - Final Building Survey peat scheduled inspection (call when ready ) Remarks- "` Building ector 6/86 and-vl e101 at&" t7 Queens6urI BUILDING and ZONING DEPARTMENT ;;/"Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 y ! DING INSPECTOR ' S REPORT ME LOCATION �crT I3ate, / Permit No . Per = APPROVED - YES NO Footingfpi.er Forms —Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures _ Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRI AL INSPECTION DRIVEWAY APPROVAL_ Final. Building Survey �. Next scheduled inspection ( call when ready Remarks- 6J86 and-vl Buildings Inspector Pr6x; naiwe �ti�hwoy bars g } dc�e o � pavement =r t 9� jtT;7u� iCo � 1_ N• a3' ' 43' tit. � �d 1 ��.c5o' .. _ .. �.,.�,- —��. c� o� Pavemc�{t 't ri r� • � �X?-_T�J�" .3 �- ,,}}-� fi to ._ 1 � J was ti p (0 acre o� land 0 Q N lands now or Tz::Nrmerluj c n Gera Id ine P. 50r +o� Creed Li ber GN , Pa e. 5 n . i 0 T r Na , tG ° e k� �X 16 ------------ a cl .