1987-769 BUILDING PERMIT y
TOWN OF QUEENSBURY No. 87- 769
WARREN COI,_INTYr NEW YORK
Lamplighter Home Sales ~
PERMISSION is hereby granted to r r
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OWNER of property located at Sherman Ave . Street, Road or Ave. i
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in the Town of Queensbury, To Construct or place a
2 Car Attached 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.
t. OWNER'S Address is RD 2 t
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Ft . Edward , N . Y .
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OR
2. CONTRACTOR or BUILDER'S Name � +
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Same
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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[ARC"'TECTS Address
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YPE of Co:nsction — (Please indicate by XI
1X1d Frame l i Masonry I ) Steel 1 )
LANS and Specifications
No. 24 ' x 24 ' as per plot plag , specifications and application .
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B. Proposed Use n
2 Car ,Attached Garage ry
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$ 10 . 00 June 1 , , 19 88
PERMIT FEE PAID — THIS PERMIT EXPIRES
Of a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
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town of Queensbury before the expiration date.)
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16th 17a of November jg 87
Dated at the Town of Oueensbury thist,. j� Y (�f
SIGNED BY /.r" /CG r f = for the Town of Queensbury
Bullding and Zoning Inspector „J/:4
To BE COMPLETED BY BLDG . DEPT %
,!7� Application No . j r )0r 1IN
o n o/ Queen3Y�irr urty Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires
Bay and Haviland Road, R.D. i Bax 98 zoning Designation 4 ��
Oueensbury, New York 12801 Variance No.
Site Plan Review
1� Approved
J 4 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 conditionsas may - - �
beindicatedon-thePermit. .
_ _________________......_......
___________
The owner of this .property is . eyolnypv .0r 40C.
P . O. Address y- _ Tel . 7 .rJ -7 3 ( -
Property Location : ' Tax Map No .
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF {W�O�RK� .,AS REGARDS BUILDING 'CODES IS
Name
P . O . Address Tel No
Name of builder /.2.., 77A 0 hf- 7` t°"%L- Address_ AI i�ir ".l4! [� Te1 . 7 �7�T ? � 9 '�
Name of plumber Address Tel .
Name of mason t.a ra C v ,. ,.Fd ddress .r4-s�.�-7 .7 GA .�J •./ . Tel .— ' ` G ° �-
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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
00 * 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 /' D c] ft X ' ) ft .
* Existing building ( s) Size 2a a ft X ft _
*
PROPOSED BUILDING AND USE : * Existing building ( s ) Use
size of new structure _,..—C/ft X Z yft �'` l i distance from property line
Foundation-pier/crawl/partial/full Proposed building , e�
(circle one) Front yard 3 ft Rear yard / / £t
tooq of stories (habitable space) f * Side yards S"- ,9 -- ft and / 7 ft
Height ( grade to ridge ) IS '� fte * if can corner , setback from side street ft
If residential , no . of families OCCUPANCY INFORMATION
Noo of rooms ( excluding baths )
*
No . of bedrooms * PRI14ARY BUILDING
No * of bathrooms One family dwelling
*
Primary heating system * 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? Business
*
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other R l'
Ranch Contemporary Log cabin
If addition , what will use be?
Raised ranch Mansion Duplex
split level Old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House Detached garage/one car/ two r. car
* y+ Attached garage/one ca two car/_ Tcar
{ CIRCLE ONE PLEASE ) 'ice
* * * * * * * * * * * * Pri_ vate storage building
ESTIMATED MARKET VALUE OF Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED !
Form SPA 4/86 md--vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc .. I-pool -e
Will any second-hand or ungraded lumber be used? If so , for what ?
Foundation wall material �� �y- ._ /L,c T-{ Thickness Of
Depth of foundation below grade (to bottom of footing )
Will there be a cellar? /.. O Heated or unheated? " � A!� apt( Floor sq. footage .{ 7
Will there be a basem t? ^.eno Will any portion be used as living space ? sq ft
( If so , what portion? sq , ft . - . Type of use?
Type of roof - ( lat/shed/other Material of roof Size , wood studs '"X- cam/ spacing- fG '"o _ c . length S__ ft.
Joists ( floor beams ) lst . floor "'X to spacing "o . o . span ft .
Joists ( floor beams ) 2nd , floor "X " spacing "o , ca span ft ,
Overlays (ceiling beams ) 00, "X cam/ ++ spacing '0 c , span-£t .
Roof rafters _ " --�{_ spacing_ � o . c , span Y ft ,
Roof trusses (pre-engineered) spacing "o . c , span ft .
Exterior wall finish G r4P �( , n Of what material ? t/,
Interior wall finish
If a�rtarage is to be attached , describe materials to be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling? !Vej If so will a Fire-rated
door , enclosure , and calf-closing device be provided? ,A-nor
Will a flue-lined chimney be installed? Height above x-of ft , ��—
Depth of chimney foundation below grade ft ,
Depth of fireplace hearth ft , +
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 tt ` r T
County of Warren A F f C I D A V I I STATE OF NEW YORK
1 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 Signat
ure___
�, Dwxx�*r, owner ' s agent archicect, c ntra tprA ` * e� `�f'
day of ,yJ` 0 t..j 19 s- 7
Notary Public , Warren County, N . Y ,
* * for * * If It * If If * * * * * * * * * * * * * * * * * * * * * * * * * * for * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT :.
TOMN OF QuEENSEURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS I2802
QUEENSBORY , NEW YORK
TELEPHONE ( 518 ) 792- 5832
B[3-mw-� INSPECrYOR' S REPCIRT
INS P CTI N RECE ED-----
RE�UEY'T
NAME
L OCA ION PERMIT
DATE � APPROVED
YES NO
FOOTINGIPX POUR FORMS
MONOLITH`.TC DAMP_PigdOFING
F'QUIVI7AI''IO APPROVAL
BAC KF XI,L
R Oti.0 H PLUMBING y
MIND
ELECTRIC Is ROVGH�IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING ON -uxf
f'
JAL INSPEC
CHSMNEY HEX T
ROOFING
t�XDING SEEPS
EXTERNAL PORCHESI RAILS_�_� --
STAXRS_CLEARANCE RELXEF, VALVE
PLUMBING FIXTUREk/TRS/PRXVACY DOORS
INTERXOR
FINISHED FLOor' s F rNG ~~
GARAGE FXREP , ^'
DOOR CLOSER 'S )
SMOKE DETEC ORS
INSPECTION
FINAL EL.ECTRACAL
FINAL
APPROVAL OF CONSTRUCTXON
OCCUPANCY MUST BE
CERTIFICATE QF ING DEPARTMENT BEFORE
A SIGNED ROM THE BUILD
OBTAINED F OCCUPXED !
THESE PREMISES ARE
REMARKS :
INS ECTOR
ZONING� �u DE
PA
UIIG 'land none�RuTBr�o x 9a
Say and Hays
12801
aueensbury. New
York
BUILDING
I4SSPECTOR ' S REPORT
NAME
� (1CATION yr
�r permit
*
* * * * * * * * * * APPROVED
Foundation
W aterpr o�'� in9
Bac}Lf ill
Framing
Roof ing
Siding
Mason. Veneer
Rough' Plumlr�rn9_�.-----'
Relie
f 'Valves __— - - �--
Ext • Porches
Finished Floors
interior 'Trim
Stairs & p,,3- ings
Cellar Drain Tile
Concrete- Floors
Plbq . Fixtures
Gar . Fireproofing
Door ,Closers
Smoke Detectors
Chimney
IN SULA°TI-ON
Foundation
Floors
Walls
ceilinELECT CAL lt3c�pECTI�JL3 �_--.—^-
F-IN AL V&L �---
V)R1VEWXV AP SurveY�---��
Final Building
ection (call when ready )
Next scheduled insp y{�
Remarks- �I �
auilding
Tnspec r
�fg� and-vl
BU1LdffdG and ZONING d£PARTMENT
Bay and Haviland Road. R.D. 1 Box 98
QUeensbury. New York 12801
BUILDING
INSPECTOR ' S REPORT
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NAME liar
perms-t No . _�i _L
Date * * * * * « * "
PPRC)VED - `l'ES
A
k`ooting/p�-`'r Forms
groundat ion
waterproofing
Back.f ill
l
Framing
Roof ing
siding
M,asonrY Veneer ----
Rough Plumbs �-
Relief Valves -�-
Ext . Porches
Finished Floor
Interior
Railings
Stairs & k�a .rile .J. .
Cellar 1�rai-n
Concrete Floors
Plbg . Fixtures
Gar . Fireproof 9
Door Closers
Smoke Detect s
Chimney
IN SU LA`L'I4N
Foundatio
Floors
walls
Ceiling CAL INSpFCTIDNf_
F I L NA EL `ram r
ROVAL
DRIVEFl8uild1n% Survey
Final
Next scheduled InsP
eetion (call when ready )
Remarks- r—f
Cot s '
Sui11din nspect r
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