87-455 BUILDING PERMIT
TOWN OF +QUEE 'NSBURY �
No. 87-455 �
{ WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Linda Le Harvey c
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OWNER of property located at Butternut Hill Dr , Street, Road or Ave.
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in the Town of Oueensbury, To Construct or place a Addition to one family --..Deck �
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_
1. OWNER'S Address is r
RD # 1 �
14 Butternut Hill Drive
Queensbury , N . Y . 12801 r
2. CONTRACTOR or BUILDER'S Name m
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Same e
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3. CONTRACTOR or BUI LOER'S Address
Same
4. ARCHITECT`S Name p
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S. ARCHITECT`S Address
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6. TYPE of Construction — (Please indicate by X)
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( Xi Wood Frame I 1 Masonry I ] Steel I 1 't
7. PLANS and Specifications
No. 20 ' x 30 ' addition to one-family dwelling - deck as per plot plan
specifications and application .
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S. Proposed Use rrt
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One-Family dwelling
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$ 10 . 00 PERMIT FEE PAIL? - THIS PERMIT EXPIRES February 1 , 19 88 0
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p
town of Qusensbury before the expiration date.) t3
Dated at the Town of Queensbury this loth Day of July 19 $? B
SIGNED BY 04!5 for the Town of Queensbury
Building and Zoning Inspector 4000
TO BE COMPLETED BY BLDG , DEPT .
� / Application No .
_7olvd" U� Que4vo1'dh^Ix0" "y Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No . 'M I d V1 N'
f ' � Site Plan Review No . 1LJn`"j{ LU
Jy Approve by : - -- JUL 15 1987
r 1 APPLICATION FOR �fPL)� � y?"��.
r r BU�IL.DIN 8[ CODE DEPT
BUILDING AND ZONING PERMIT � ���„ f �•
# :.
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 .
X The-owner'of-this property.
-is : / - A) OF Cc Lj e"
orl
AP . O. Address �/ Tel .
'KProperty Location : Tax Map No .
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF wORK AS REGARDS BUILDING CODES IS :
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Nam4j P . O. Address - Tel . No .
+[Name of - builder '- � 4a�tr. Address Tel .
Name of plumber Lf 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 ,
S�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 DEMOL''�7:�f'34�T� PERMIT , STATE AND
LOC OF
STRUCTURECTED_ of water supply and location and configuration
'" of septic disposal area .
* COMPLETE INFORMATION REQUIRED BELOW .
" Size of property r /g �ft X�ft .
'1C,Existing building ( s ) size ft X ft .
*
PROPOSED BUILDING AND USE : * Existing building ( s ) Use
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,.Size of new structure c&V Q ft X.1 ft * U1.1 ; 1- 1 ►tJG
Foundation ie slab/crawl/partial/full * Proposed building , distance from property line
(circle one )
Front yard ft Rear yard ft
No of st ies (h itable spa e) * Side yards ft and ft
Bel (g ade to r dge ) f If on corner , setback from side street ft
If jofb
ial , no of famil es
No . ms 1 ing baths �' * OCCUPANCY INFORMATION
No. rooms ,/ , ,� PRIMARY BUILDING No . throoms _ One family dwelling
Prieating tem Two family dwelling
Typue * Multiple dwelling / Number of units
No . eplace to be ins .alled _Permanentoccupancy
wilod stov be insta ed?
* Transient occupancy
Cenral Air conditioning . Business
*
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other
* If addition , what will use be?
Raised ranch Mansion Duplex � acwwt�
Split level old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * _jL4. Attached garage/one car/ wo ca"r car
* * * * * x * * * * * * * Private storage building
ESTIMATED MARKET VALU4 OF Other
CONSTRUCTION
9C $ _ 1Y, - - - - _ _ -- - - - - -
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED !
Form BPA. 4/86 and-vl
6kq i flown �f QttIv �1 Jbiury
j l 1
� ,fi? BUILDING and ZONING flEPART"F ox 98
and P.D .
Bay n, eensbUrY, Neuv York12801
i BUIYDING/ INSPECTOR ' S REPORT
NAME
LOCATION jo � 2.
Permit
Date 149 / 1�5_�-
No
* * * * * * * * * ✓* * APPROVED
Footing/Pier Forms
Foundation
Watarproo£in
Back.f ill
,/raming
Roof ing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . porches
Finished Floors
Interior Trim.
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Flbg . Fixtures
Gar . Fireproof ' g
Door Closers
Smoke Detect S
Chimney
INSULATION :
Foundation
Flo orS
Walls
ceiling CAL INSPECTION_
FINAL EL CTI�
OR_T VEWAY A PROV
Final Building Survey
led Inspect
13exC schedu (call when ready)
Remarks-
Building Inspector
6/B6 and-vl
flown Of QueenshurY
BUILDING and ZONING DEPARTMENT
Bay and Havifand Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATIONf- U t .rZrY1F? �
Date F ]Cmi t Now !
* * * * * * * * * ✓* * APPROVED YES NO
Footing/pier Forms
Foundation
Waterproofi
Backfill
Framing
oof ing
Siding
Masonry Veneer
Plough plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior 'Prim
Stairs & Rai ngs
Cellar Drai. Tile
Concrete F ors
plfg . Fixt res
Gar . Fire oofing
Door Clos rs
Smoke De ctors
Chimney
INSULATT
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION �- --�
DRIVEWAY ApPROV Survey
Y��.
Final Building
Next scheduled inspection (call when ready)
Remarks"
Build! 9 Inspector
6/86 and-vl
j = �cifurst o� �r;ePtsrx3tlurt�
E1lJIL171NG and ZONING DEPARTMENT
4 Bay and Haviland Road, R.D. 1 Box 96
Queensbury, New York 12801
F
BUIUDING INSPECTORtS REPORT
NAME ✓e
L.O C A T I O N Gq
Date /7 f Permit Nc)o
APPROVED - Y NO
Farms
I Foundation
Waterproofing
Backfill
S Framing
# Roofing
siding
Masonry Veneer
Rough. Plumbing
Relief Valves
East , Porches
Finished Floors
Interior 'Trim
4. Stairs & Railings
f Cellar Drain Tile
Concrete Floors
Plbg _ Fixtures
Gar . Fireproofing
Door Closers _
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVA-!_
Final Building Suxvey
1 Next scheduled inspection (call when ready
4 Remarks-
Po ii
i
i
Building Inspector
6/86 rnd-vl
f !Yrr ��� �OWRt G� �f4'E'iPlk .fi� laL1"1�f
i " { BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
y�y BUILDING INSPECTOR ' S REPORT
NAME
LOCATION l v � , -�r -
I]ate 2i 17�14d�f Permit P3cs .` / � ec..•� -`
✓ — APPROVED - YES
�oting/Pier Forms a
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Flbg . 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-
db s
Building Inspector
6/96 and-vl