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1987-604 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-604 � WARREN COUNTY, NEW YORK o I^ •� ten'^ I .� PERMISSION is hereby granted to J . D . Bernard OWNER of property located at Harm � r-7r�.��.� � � t Street, Road or Ave. ,j v in the Town of Queensbury, To Construct or place a Detached two car garage 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 1$0 Broadway C� Ft . Edward , N . Y . t' ro 2. CONTRACTOR or BUILDERS Name s id w Same ' t 3. CONTRACTOR or BUILD S Address x 4. ARCHITECT'S Name H ri I-L rn qd 5. ARCHITECT'S Address B. TYPE of Construction — (Please indicate by X) ( Ij Wood Frame ( I Masonry i ) steel ( k 7_ PLANS and Specifications r[� Na. 23 ' x 37 ' per plot plan , specifications and applicatlon . W w n rn r3. B. Proposed Use Detached two car garage . N C7 W K W K $ 10 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 , 19 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 Queensbury before the expiration date.) Dated at the Town of Queensbury this 11th Day of Septa 19 87 SIGNED BY Q� for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED SY BLDG . DEPT . � Application No . _701v s 0/ Qmeen3lu ry Permit Issued 19 - Expires BUILDING and ZONING DEPARTMENT Permit ExP €7 Jr` '. Bay and Havifand Road, R. D. 1 Box 98 Zoning Designation ( �} Queensbury, New York 12801 Variance No . SEP 31981 Site Plan Review No . + ' APPLICATION FOR , d, 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 dune 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 : 1 P . O. Address r '� Tel . 47 `4 7 - "tZ`�f l� Property Location : Tax Map No . Street n r or buildln lot 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 Address�/ S�=D �'} � ,-_.�>cs � Tel . �754 9- 7Name of plumber s _r r Address ,., Tel . Name of mason Address --u — 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 D`FMOLITION PERMIT , STATE SIZE AND of water supply and location and configuration LOCATIO"0F . STRUCTURES AFFECTED _ * of septic disposal area . — "---" COMPLETE INFORMATION REQUIRED BELOW . Size of property ft X / ft . ` Existing build±ng ( s ) Size ft X ft . PROPOSED BUILDING AND USE . Existing building ( s ) Use Size of new structure ft X.3.7,ft Foundation-pier/�/crawl/partial/full r Proposed building , distance from property line "(circle one) �, Front yard `r ft Rear yard�� ft No . of stories (habitable space ) i = side yards ft and ft Height ( grade to ridge) ft , * If on corner , setback from side street ft If residential , no . of families : '0 No . of rooms ( excluding baths) 1-�/ i�1' _ OCCUPANCY INFORMATION No , of bedrooms ,? C„r 5 PRIMARY BUILDING - No . of bathrooms_ One family dwelling Primary heating system -' ++ w Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be instal ed '' Permanent occupancy Will a wood stove be installed? * Transient occupancy Central Air conditioning? J Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin If addition , what will use be? ,•.tom Raised ranch mansion Duplex split level Old style Bungalow,,,, Cape Cod Cottage Other ACCESSORY BUILDING- Cape House Attached garage/one car/ two car/..car r/� Detached garage/one car/ two car/� Gar Colonial Row car ( CIRCLE ONE PLEASE ) � _Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION oC� INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form SPA 4/86 and-vl BUILDING, PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . 4 "� y Will any second-hand or ungraded lumber be used.? If so , for at ? � Foundation wall material C o&AW Zkd��r Thickness 48 Depth of foundation below grade (to bottom of footing ) , Will there be a cellar ?_!.Heated or unheated? - o +s pioor sq . footage ° ,' sq ft Will there be a basement? :t ,- Will any portion be used as living space ? ( If so , what portion? .. ..-q . ft . - - Ty e.) of use? — - Type of roof - slope d/flat/shed/other5��` f"n �� , ;c Material of roof Size , wood studs - " X spacing ' "o . c , length ft . Joists ( floor beams ) lst . floor - . "X - '" spacing "o . c . span ft . Joists ( floor beams ) 2nd . floor "X .. spacings"o . c . span -- ft . Overlays ( ceiling beams ) "X spacing - "o . c . span — ft . Roof rafters "X " spacing --- o . c . span- Roof trusses (pre-engineered) spacing o . c . span ft . Exterior wall finishX�c ' e�c /+ 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? f , Height above roof ft , Depth of chimney foundation below grade ft . Depth of fireplace hearth - ft .- in . Water supply - Municipal or private well SEPTIC SYS'TLM _ Distance from ANY private well ( including adjoining properties ft . CA separate application is necessary for any repair or new installation of septic system) Town of Queensbury 1 , County of Warren R F F 1 D A V 1 T STATE OF NEW YORK 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 'PHIS Signature _ \ 1 ____________ - own owner ' s agent , arcnxzect , contractor day of 19 + Notary Public , Warren County, N . Y _ SPECIAL CONDITIONS OF THE PERMIT : By �awn a� BUILDING and ZONING E a RTME 9$ Bay and Hauifand Road, aueensbury, New York i2801 Bl1IL 'DING INSPECTOR ' S REP OPT NAME - i LOCATION 1 J fpermlt Nov APpRovED - X NO Footing/pier F Foundation Waterproofing Backfill a 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 . Fireproof ` g Door Closers Smoke Detecto s Chimney INSULATION Foundation Floors Walls Ceiling FIl]AL EL TRICAL II�SSpECTIC)I3��_�-- D-RTVEWAY PPROVAL inal Bui ding Survey ady ) Next scheduled inspection (call when re Remarks- Ey . lip 'lei Building Ins ector Faf$S and-vl V' t � een3h f ' { overt oure� 10 ' BUILDING and ZONING DEPARTMENT 1 �; 6 Bay and Hav'iland Road, R. D. 1 Box 98 oueensbury, New York 12BOl BUILDING INSPECTOR ' S REPORT NAME LOCATION fate /v7_ cr N� ! 4° e .40 * * * APPROVED YES N �eSotingfPier Forms Foundation waterproofing Bac'kfiII Framing Roof ing siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Flours Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers smoke Detectors Chimney INsUl.ATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION I]RIVF:WAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Rc ma rks- Building Inspector 6/B6 and-vl vtl ol bd 4J