1987-727 BUILDING PERMIT �
TOWN OF QUEENSBURY �
No. 87- 727 z�
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George Pfeiffer
1
2 Glendale Dr .
OWNER of property located at Street, Road or Ave. w
in the Town of Queensbury, To Construct or place a Alteration — Roof
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 . OwNE R'S Address is
Mtknxita Same
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2. CONTRACTOR or BUILDER'S Name tv
Mike Mead Cl)
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3. CONTRACTOR or BLIILDER"S Rddrass
CLeaverdale , N . Y .
4. ARCHITECT'S Name
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5. ARCHITECT'S Address 4]
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6. TYPE of Construction — (Please indicate by X)
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Wood Frame ( ) Masonry I I Steel ( )
7. PLANS and Specifications
No. 33 ' x 52 ' roof over existing structure as per plot plan , specificati ns
and application .
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S. Proposed use New roof over single family dwelling
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1
2
$ 21 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES ® May 1 , 1988 111
(if a longer period is required an application for an extension musk be made to the Building and Zoning inspector of the O
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this
�,� �- 28th Day/off October 19 87
SIGNED BY f + / for the Town of Queensbury
Building and Zoning Inspector -
TO BE COMPLETED BY BLDG . DEPT .
Application No .
��
. lour" o/ Queenj "ry Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19�
Bay and Haviland Road, R .D. 1 Box 98 Zoning Designation
Queensbury, New York 128+01 Variance
Site Pla Review
Approv
APPLICATION FOR
PUIEDING 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 : - --------- - - L' ................
�-------
Tel .
P . O. Address
Property Location Tax Map No . / /
'Street number or building lot lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Naive P . O. Addres�sy r Tel . No ,
Name of builder Icy
// p� l Address f i F : 1 �n ^ � Tel .
t 1� f I � � C
Name of plmber Address Telplumber
Name of mason Address Tel
NATURE OF PROPOSED WRK : 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
Coker work (describe) set-back dimensions from property lines . Give
ova j�x Fyn/ -rr,r � 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 . x of septic ,disposal area .
* COMPLETE INFORMATION REQUIRED BELOW .
Size of property ft X ft .
Existing building ( s) Size ft X £t .
PROPOSED BUILDING AND USE : Existing building ( s ) Use
Size of new structure ft xl; 4 ft
Foundation-pier/slab/crawl/partial%full Proposed building , distance from property line
(circle one) ,� Front yard ft Rear yard
ft
No . of stories (habitable skpacp ) ft . Side yards ft and ft
Height ( grade to ridge ) i( ( if on corner , setback from side street ft
If residential , no . of families
No . of rooms ( excluding baths) _ ^1 * OCCUPANCY I NFORMAT I CN
No . of bedrooms 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 installed * ___Permanent occupancy
Will a wood stove be installed? Transient occupancy
Central Air conditioning? �y _Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Other
Ranch Contemporary Log cabin If addition , what will use be?
Raised ranch Mansion Duplex C5--Te) 1z rN fT
Split level Old style aloes
Othe ACCESSORY BUILDING-
Cape Cod Cottage car
Town House �" Detached garage/one car/ two car/
Colonial Row car
( CIRCLE ONE PLEASE } Attached garage/one car/ two car/ .
* * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF Other
CONSTRUCTION
$ - } r�- - . . . . . . . .
INFORMATION ON BUILDING, SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ?
Form BPA 4/8E and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS : f
Type of construction , wood frame , fire safe , etc , c'ce Laa )
Will any second-hand or ungraded lumber be used? if so , for what ? - -
Foundation wall material Thickness
Depth of foundation below grade {to bottom of footing ) t _ -
Will there be a cellar ? ! (,i Heated or unheated? ( ' :L:._ , 3': sq . footage C sq ft
Will there be a basement? ZWill any portion be used as living space ?
( If so, what portion? sq . ft . - - 'Type (of use?
Type of roof - slo ed/flat/shed/other = ; Material of roof
Size , wood studs "X - „ spacingT"o . c . length `ft . oil
Joists ( floor beams ) lst . floor "X to spacing "o . c . span ft .
Joists ( floor beams ) 2nd . rfloor "X it spacing NoO . Q . span ft .
Overlays ( ceiling beams ) ow, "x_ _" spacing / � "0jF span ft .
Roof rafters _„X _- " spacing o . c _ spans-_ ft , k ( - / c r, " S _, ,
Roof trusses (pre-engineered) spacing "o . c . span ft
Exterior wall finish 'r f - of what material . 4
Interior wall finishIf 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 .
Depth 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 repair or new installation of septic system)
Town of Queensbury G 1 r L ry A
County of Warren A { F A �" I 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 clone 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 the owner .
SWORN TO B ORE ME THIS Signature_--- - __--__- --------- -
Owner , owner ' s agent , arcnizect , contractor
day o f''�-.. 19
Notar ublic , Warren County, N . Y .
* * * * * * * _ * * * * * * * * * * * * * * * IF * * * * At *
SPECIAL CONDITIONS OF THE PERMIT :
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4.lnuvn o� �steen3+b +t,tre�r
BUILDING and ZONING DEPARTMENT
Bay and i iaviland Road, R.D. i Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCAT I ON_-fL ,�Gr�� L�
,fir
Date fv / �s Permit No . �6 r
y/ s APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterpr £ing
Sackfil
Framing
Roofing
Siding
Masonry Ve eer
Rough Plumb ng
Relief Valve
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railing
Cellar Drain Tile
Concrete Floors
plbg . Fixtures
Gar _ Firepro ing
Door Closer
Smoke Deter tors
Chimney
INSULAT N
Founda on
Floors
Walls
Celli gI
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks- `' Y� tiJ c'7 4 JO d J 1 Z_
X ti� T I .0 ri I cJ i t 1 '�'C
I� � G
Bui ding Inspect
6f 86 and-vl