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1987-634 BUILDING PERMIT N TOWN OF � QUEENSBURY No. 87-634 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Roger LaFontaine - Martha ' s Restaurant: ' {{ 1 OWNER of property located at Street, Road or Ave. f .- %.c in the Town of Queensbury, To Construct or place a Storage Aldo - N 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_ t. OWNER'S Address is RR #5 Box 229 Queensbury , N . Y . 12801 a ao ro 2. CONTRACTOR or SUILOER'S Name Same w O .^3 e-r 3. CONTRACTOR or BUiLDER'S Address w D m �-t 4. ARCHITECT'S Narne I fu co gad M 5. ARCHITECT'S Address c' n W H rr S. TYPE of Construction — (Please indicate by X) (x) Wood Frame { } Masonry { } Steel { } 7d rr ro 7. PLANS and Specifications No, 10 ' x 32 ' per plot plan , Specifications andapplication 8. Proposed Use rt Storage Bldg , c ri Cn 04 N CrJ i✓ $ 13 . 00 PERMIT FEE PAILS - THIS PERMIT EXPIRES April. I , (lf a la 79 $S nger period is required an application for an extension must be made to the Building and Zoning inspector of the town of C)ueensbury before the expiration date.i Dated at the Town of Queensbury this 22nd Day of Sept . 79 87 SIGNED BY for the Town of Queensbury Building and Zoning I nspector , TO BE COMPLETED BY BLDG , DEPT. Application No . • ileel� 36u[r� Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires lg Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Ld F Oueensbury New York 12801 Variance No . r Le iL Site Plan Review No , �� Lj l D � Appr Sri APPLICATION FOR 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 : P. O. Address # Tel . ��?-�j 2� Property Location : [ (r7 _ 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 : t2- -c Name P . O. Address �, ,� Tel * No . Name of builder �y _1r r ^ircCG,t ,SP Address �L �'r +" r �LC ,. Tel . Name of plumber Address Tel . Name of mason $ A r" d 4!:� S A-FW "&Address Tel . NATURE OF PROPOSED WORK : � ZONING INFORMATION : onstruction of a new building * ArPLOT PLAN MUST B PREPARED AND SUBMITTED , a A E ddition 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 Size of property �lS6 �, '►i. ft X �. Nft . * Existing building ( s ) Size _ft X ft _ PROPOSED BUILDING AND USE : * Existing buildings ) Use Size of new structure ID ft X-3Q, ft Foundation-pier sla crawl/partial/full * Proposed building , distance from property line (circle one ) ry No . of stories (habitable space ) �0 Front yard ft Rear yard ft Side yards Height ( grade to ridge ) If residential , no . of families( £t . * If c�nycorner , ( efifiacltffromdside street ft ft No . of rooms ( excluding baths ) j * OCCUPANCY INFORMATION Noe of bedrooms No . of bathrooms PRIMARY BUILDING - * Primary heating system One family dwelling* Two family dwelling Type of fuel No . of fireplaces to be installed'? * Multiple dwelling / Number of units * Will a wood stove be installed Aeip Permanent occupancy * Transient occupancy Central Air conditioning? /V[7 Business BUILDING STYLE,, PRIMARY STRUCTURE * Industrial Other Ranch Contemporary Log cabin Raised ranch Mansion Duplex If addition what will use be? '�rCti Split level Old style Bungalow Cape Cod Cottage * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * tacked garage/one car/ two car/ car * * * * * * * * * * * * * * * * �ivate storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! Form BPA 4/a6 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood fra fire safe etc . Will any second-hand �8F ungraded lumber be used? If so , for what? 1I(7 Foundation wall material M Thickness Depth of foundation below grad to bottom of footingl _,_� f ! Will there be a cellar?Heated or unheated? Floor sq. footage s9 ft Will there be a basement . _( _Will any portion be used as living space? ( if so , what portion? sgaft . - 'Type a use . Type of roof - lope flat/shed/other Material of roof if Size , wood studssss "X _" spacing_ __."o _ c . length �£t . 3oists ( floor beams ) lst . floor lox it spacing "o . c . span ft . .Ioists ( floor beams) 2nd . floor "X spacing "a _ c . span ft . 'X spacing "o . c . span �� yy,, f� dut Overlays (ceiling beams ) ,.,_' 2� j_j . Roof rafters '') "x�^_" spacing__�__o . c . span_ _ . ft .- ----� Roof trusses (-p.,ree---engineered) spacing "o . c . span ft . Exterior wall finish Of what material? L./ ) CD 7 . Interior wall finish if a garage is to be at ached , describe materials to be used For FIRE SEPAE2ATION : Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? Ft . Will a flue-lined chimney be installed? �` Height above roof Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . — in . Water supply - Municipal or private well Ft SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury A F F I D A V 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 CODEr 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 __-�-- Owner , owner ' a erit , arCnlreCt , CC7ntraCtC}r day of 19 Notary Public , Warren County , N . Y . Is SPECIAL CONDITIONS OF THE PERMIT : $i'--- --------------- ..... ------- • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 0 BUILDING INSPECTOR ' S REPORT I" NAMEi'f LOCATION /L /e Date ,_lI Permit No . �� r' APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding kk 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 INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICA INSPECTION 11VEWAY APPR,OV nal Building rvey 0 NA Next scheduled inspection (call en ready ) Remarks- / L�f-+ lip' �G�s rc � 7 Building Insp to 6/86 and-vl v � "! 9 ;e BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME yQ_��,, � �d'7'.G.2.�c?.-a,,•,lLFa LOCATION Date /7 Permit No , APPROVED YES NO Footing/Pier Forms Foundation Waterproofing Backfill t,,F'ram.ing /cr Roofing Siding Masonry Venee 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. INSULATION : Foundation Floors Walls Ceiling FINAL ELECT AL INSPECTION DRIVEWAY APPR VAL Final Buildin Survey Next scheduled inspection ( call when ready ) Remarks- Buil ing Inspector 6/B6 and-vl BUILDING and ZC7NING DEPARTMENT Bay and Maviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPE TORTS REPORT NAME je LOCATION Date� f Permit No , ✓ = APPROVED - YE NO Ling/pier Forms Foundation waterproofing Sackfill FraminMT11el Roofin Siding Masonre r Rough i Reliefes Ext . ps Finishoors Interiim Stairsilings Cellar TileConcreorsPlbg . resGar . FoofinDoor Cs Smoke Detector Chimney. INSULATION : Foundation Floors Walls Ceiling FINAL. ELE TRICAL INSPECTION DRIVEWAY PPROVAL _ Final Bui ing Survey Next scheduled inspection (call when ready ) Remarks-- Bu lding Ins cto 6/s6 and-vl