1987-886 BUILDING PERMIT �
TOWN OF QUEENSBURY No. 87-886
• WARREN COUNTY, NEW YORK '
Leo & Ruth Phaff .a
PERMISSION is hereby granted to ri
OWNER of property located at
Bay Parkway Assembly Pt . Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Detached One 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.
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t . OWNER'S Address is 0
Same a
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2. CONTRACTOR or BUILDER 'S Name
Howland ,Constnt=ti-on
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3. CONTRACTOR or BUILDER'S Address
Box 140 Star Route
Glens Falls , N . Y . 12801
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4_ ARCHITECT'S Name �
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5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X)
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Xx) wood Frame I ) Masonry I ] Steel ( )
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7. PLANS and Specifications
20 ' x 22 ' as per plot plan , specifications and application
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S. Proposed Use M
Detached one car garage . Ct
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$ 10 . 00 July 1 , 79$8
PERMIT FEE PAID — THIS PERMIT EXPIRES
(lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the pny
town of Queensbury before the expiration date.)
24th December 19 87
Dated at the Town of Queensbury this Day of m
09
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SIGNED BY _ / G ` 'X�' for the Town of Queensbury
Building and Zoning Inspector *Oz//
TO BE COMPLETED BY BLI]G . DEPT.
Application No. C , rti 4 cF
�/aws� ou[�n6urt� Permit Issued
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R,D. I Box 98 zoning Designation !
C}ueenshury, New York 12801 Variance No. O E G 211967
Site Plan Review No .
� Approved by :
APPLICATION FORled f
JGf r/'r
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The underF%gped 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 : 4� PL COe ff
P. O. Address P Tel ,
Property Location: �? , egsz2Ei� N / - Tax Map No . / / GC`�
Stru'et number ^ r building lot number Weed
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P. O. Address P Tel . No
Name of builder 'D&ILE2 d42�r11&'+j2J.e Address S .Tm.rq Jl Tel .
Name of plumber 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 ,
Addition to a building * drawn reasonably to scale and attached hereto ,
Alteration to a building * showing clearly and distinctly all buildings ,
.Alteration
change to exterior dimensions-) * whether existing or proposed and indicate all
Other work (describe) set-bask dimensions from property lines . Give:
* 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 .
* Sire of property / •3 W-/ l- ) ft X
* Existing buildings) Size ^ft X ft .
* . . . .
PROPOSED BUILDING AND USE * ' Existing buildings ) Use
Site of new strut e 2� 7 Et ]2 ft
Foundation-pier slab crawl/partial/full * Proposed building , distance from property line
(circle one) Front yard ft Rear yard /0 -:5 ft
No . of stories (habitable spat
7F'") * Side yards ' ft and ft
Height ( grade to ridge ) I ft -If residential , no . of families If on corner , setback from side street ft
No . of rooms (excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms * --
No , of bathrooms PRIMARY BUILDING* One .family dwelling
Primary heating system Type of fuel Two family dwelling
'"
No , of fireplaces to be installed ' * Multiple dwelling f Number of units
dill a wood stove be installed? " Permanent occupancy
* Transient occupancy
_antral Air conditioning? Business
*
BUILDING STYLE, PRIMARY STRUCTURE „ - Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex
If addition, what will use be?
Split level Old style Bungalow
Cape Cad Cottage Other * ACCESSORY BUILDING-
�olonial Row Town Ptouse * .Detached garage one car two car/ car
( CIRCLE ONE PLEASE ) * Attached garage one Carl two car/ car
Private storage building
ESTIMATED MARKET VALUE OF * other
CONSTRUCTION $
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI
Form SPA 4/86 md--vl
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . ZJ6e:p, 7 r_eeq-Z22e
Will any second-hand or ungraded lumber be used? If so , for what ?
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Foundation wall material _ � �: p� .re� Thickness_ _
Depth of foundation below grade (to bottom of footing ) _- .fz� �
Will there be a cellar? ^_Z) heated or unheated? Floor sq. footage sq ft
Will there be a basement? Will any portion be used as living space?
( It so , what portion? sq. ft . - . Type of use?
Type of roof sloped/flat/shed/others Material, -of roof
Size , wood studs "X spacing ",4� "o . c� length ft .
Joists ( floor beams ) lst . floor "X spacing "o . c , span ft .
Joists ( floor beams ) 2nd . floor "X spacing "o . c . span ft.
Overlays (ceiling beams ) > "X 4 spa.cing.ZL�"o . c. spanoe�ft.
Roof rafters •'X.4Ka _" spacing j�� o . c . span ra � ft .
Roof trusses (pre-engineered) spacing "o . c , span ft .
Exterior wall finish i 9 o s� �� Of what material .' Ge,D,�'
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? a� 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 .adjolning properties ft .
(A separate application is necessary for any repairor new installation of septic system)
Town y of Warren y A F F I D A Y 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 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 .
, f/_
SWORN TO BEFORE ME THIS Signature ___ /nlczec
O er, owners agent , ar , contractor
day of 19
Notary Public , Warren County, N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
...............
TOWN OF QUEENSBURY
BUI,YDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QU ENSBURY, NEW YORK 1280�
TELSPHO (518) 792-5832
B,}YLDI -INSPECTOR' S
ORT
RE INSPECTION RVCS:rV
NAME
CATION
P�RMr -
DATE r APPROVED
YES NO
rOO'TTNG1PXER R FORMS
MONOLITHIC P�ppROOFTNG
FOUNDATIdNN1 VAL
BACKFILL
APPR
ROUGH PLUMBIN
FRAMING
ELECTRICAL ROU H�ln
rNsvLATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION
CHIMNEY HEIGHT
ROOFING
SIDING STEPS
EXTERNAL PORCHES RAILS
STAIRS-CI EARA NC VALVE
PLUMBING FIXTUR = Cy RELIEF DOORS�
INTERIOR TRIM/
FINISHED FLOOR FIN
GARAGE FIR.EPR
DOOR CLOSER (S)
SMOKE DETECTO SINSP TTON� �-
FINAL ELECTRXCA F CONS RUCTION
FINAL APPROVAL pR c S
o" To I SSUB Clr
A SIGNED CERT ICATE OF OCCD DEPARTMENT
MUST BE
G payRTMENT BEFORE
,OBTAINED FROM T BUILD
OCCu SD1
THESE PREMISE ARE
REMARKS '
ARRrV'E
T7EPAR'r.- —= X PECTOR
674
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BUILDING and ZONING DEPARTMENT
Say and Naviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BU I L-DING I NSP CCTOR " S %REPORT y�
NAME
LOCATION {
Date / Permit No
APPROVED - YES NO
�Fnoting/Pier Forms
I Foundation
waterproofing
i3ackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbi.n
Relief valves
hxt . Porches
Finished Floors
interior Trim
Stairs & Railings
Cellar prain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofin
Door Closers
Smoke Detectors
chimney
INSULATION :
Foundation
Floors
Walls
Ceiling_
FINAL EI ECTR CAL INSPECTION
DRIVEWAY APPR VAL
Final Building Survey*
Next scheduled inspection ( call when ready )
Remarks-
, . �74
Building Inspector
6/86 and-vl
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REREDY CERTIFY Tu
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