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1987-321 BUILDING PERMIT TOWN OF QUEENSBURY No. 87_321 WARREN COUNTY, NEW YORK tv + Donald Weeks o PERM lSSi{7N is hereby granted to p w OWNER of property located at 7 Kiley Lane Streetr Road or Ave. ¢ m in the Town of Queensbury, To Construct or place a Storage Building VD at the above location in accordance to application together with plot plans and other information hereto filed and t0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t . OWNER'S Address is 7 Kiley Lane Queensbury , New York 12801 2. CONTRACTOR or BUI LDER'S Name same 7C rJ• 1--� .c 3_ CONTRACTOR or BUILDER'S Address Same (D 4. ARCHITECT'S Name 5. ARCHITECT'S Address Mn Wit Kit Pc L1G 6. TYPE of Construction — (Please indicate by X) m to C { 30 yllood Frame { ) Masonry { ) Steel { ) a. lw 7. PLANS and Specifications dK7 No. 12txl2r per plot: plan , specifications and application 8. Proposed Use Storage Shed $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 yc} 88 {If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queansbury before the expiration date.) Dated at the Town of Queensbury this 4th Day of June tg 87 SIGNED BY Mr"r•= �` /�-� for the Town of Queensbury .� Building and Zoning I nspecto TO BE COMPLETED BY BLDG . DEPT. 4?UEtV�tau Application No . _ own ©/ QueerI3p "ry Permit Issued 19 yip +� BUILDING and ZONING DEPARTMENT Permit Expires 19 # MAY 2 6 1 87 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation ©ueensbury, New York 12801 variance No . _ — BUILDING Br fC U C)De DEPT. r Site Plan Review N � �,./ 7 [} ! " Approved APPLICATION FOR ! i' 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 . o/, 7 �' P . O. Address Tel Property Location : ,: /I ��. 'f/ iG- L J , i �' Tax Map No . Street number or building loot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS . Name P . O . Address Tel _ No . Name of builder lr Address Tel • �'>' % / Name of plumber Address Tel . Name of mason Address Tel . 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 , _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 * 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_ zgje ft X /J` 'o ft . Existing building ( s) Size.. 2- ft X . {r rt * PROPOSED BUILDING AND USE : Existing building ( s ) Use ALI Q Size of new ucture ^ft X-zg ft Foundatio pie slab/crawl/partial/full * Proposed building , distance from property line (circle one ) .�* Front yard 1, L7 ft Rear yard fQ ft Noo of stories (habitable space ) Side yards ft and ft Height ( grade to ridge ) Ar� ft . If residential , no. of families &A' T * If on corner , setback from side street .--"' ft No . of rooms ( excluding baths)_ / * OCCUPANCY INFORMATION No . of bedrooms 42 'r PRIMARY BUILDING No . of bathrooms * - Primary heating system � W CAliCJ * one .family dwelling * Two family dwelling Type of fuel dJC//Y Multiple dwelling / Number of units No . of fireplaces to be Installed 0 Will a wood stove he installed? © * Permanent occupancy Transient occupancy Central Air conditioning? * �—� �. Business BUILDING STYLE, PRIMARY STRUCTURE Industrial - Ranch Contemporary Log cabin A_ - * If addition , what will use be? Raised ranch Mansion Duplex Split level Old style Sun alow Cape Cod Cottage C Other > ACCESSORY BUILDING- Colonial Row House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two Car/ car * * * * * * * * * * + * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ � - - - - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE 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 . JQs�', 9 l/�' Will any second-hand or ungraded lumber be used? If so , for what ? Ala Foundation wall material '� Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? No Heated or unheated? dd+'/ffWsW,0Floor sq. footage sq ft Will there be a basement? A7„.Will any portion be used as living space?_A&9 ( If so , what portion? sq . ft . - - Type of use? --� Type of roof slope lat/shed/other Material of roof Size , wood stu s -a "'X� spacing_, JG "o . c , length Joists ( floor beams ) 1st _ floor _2__"X�f2." spacings"o . c . span Joists ( floor beams ) 2nd . floor *'}C �' spacing_ &t' E, 1'o . c . span .+/,ram ft . Overlays (ceiling beams ) Z spacing / 4,; "'o . c . span —z4—ft . Roof rafters "'X_�-" spacing_�o . c . spanft . Roof trusses (pre-engineered) spacing" o . c . span�ft . Exterior wall finish_ Of what material? Interior wall finish Av_ yr 0Z.)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? N If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? WO 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 2� ft . (A separate application is necessary for any lrrepair or new installation of septic system) 'Town of f Warren A F F I D A Y I 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 {day of 19 __�"`---_--- Owner , owner ' s agent , archimect , contractor Notary public , Warren County , N. Y . * Yt * * ,r er ,r * tit tr * * * � � ,r * * * it w sir er * * Me fk fk at ,► ,r rr * dt ,r * tlr * * * fr it * # yr yr SPECIAL CONDITIONS OF THE PERMIT : By- ----_ __-_-- ------_____ _------...----- acanoQueen36ury jj,�-�BU7DOIN and ZC1NiNG DEPARTMENT Bay and Waviiand Road, R.D. 1 Box 98 ueensbury, New York 12801 ate' `,4W� 7 - i/,?� BUILDING INSPECTOf5 REPORT NAME r.- lz�f q ,r' L & )JA h" LOCATION r i Date 111kZ_ ermit No . . r ~C 7. ✓ APPROVED - YES NO Footing/Pier' Forms foundation aterproofing Rackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves ' WOOF Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain 'rile Concrete Floors Plbg _ Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL.,_ . Final Building Survey _ Next scheduled inspection (call when ready ) Remarks- W1 LC PrZ00FjA1(,g 64t*6 - Build±Plg Inspector 6/86 and-vl Xoo'f OJW�/ ICA 7 f f or a 4t�te, rl I �o r-x sr _ T414 ji i S e Parr -A- ILL 4z OV YJ44� hlawm&� jo ore go 10 OW Al ,11V - 00010, y