1987-877 BUILDING PERMIT �
TOWN OF QUEENSBURY No. $7_877 t;t
WARREN COUNTY, NEW YORKrj
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PERMISSION is hereby granted to Marceli'
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I West Mountain Rd , w
OWNER of property located at Street, Road or Ave. k.0
in the Town of Queensbury, To Construct or place a Detached two car garage
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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t . OWNEWSAddressis RD #2 Box 374 m
West Mtn . Rd .
Queensbury , N . Y . 12801 rr
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2. CONTRACTOR or BUI LDER'S Name n ai
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Jim Neal
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3. CONTRACTOR or 8U1 LDER "S Address F9
18J Newcomb St .
Glens Falls , N . Y . 12801
d. ARCHITECT'S Name
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5. ARCHITECT'S Address
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B. TYPE of Construction — (Please indicate by X) y
( x) Wood Frame I ! Masonry { l steel [ }
7. PLANS and Specifications
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No. 24 ' x 24 ' as per plot plan , specifications and application . N
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8_ Proposed Use CL
Detached two car garage .
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$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 19 88 w
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the aq
town of Qusenstrury before the expiration date.)
Dated at the Town of Queensbury this 18th Day of D-e_clember 19 87
SIGNED BY f.0 r p G+� for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEPT.
a] ! Application No . € ; I J� }
wn 0/ ueertd6xertf Permit Issued 19 �� f�?' � tJ L5 �u ti L5 �
BUIL DING and ZONING DEPARTMENT Permit Expires 19 LJ t � lu i
Say and Haviland Road, R.D. 1 Box 98 Zoning Designation 0E C 1
Oueensbury, New York 12801 Varianc
Site P an Review N�qr _ F�U!LDiNC: ,c C;0LiL: ;7EPT.
App ed
/ APPLICATION FOR J ��r C• "� �/
BUILDING AND ZONING PERMIT ff
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The under:Lgned hereby applies for a Building hermit 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 "t Tel . - ,�
Property Location % S Tax Map No . / /
Street "nwmlhexa or bui d ng lot number
Subdivision name. Cif applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUIL ING CODES IS :
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Name / P. O. Adaress Tel . No .
Name of builder7, �j (�/Gv ,� L� Address _ _ : ,x Jl�✓a" (p i' ` Tel - c � '
Name of plumber Address Tel .
Name of mason Address Tel .
NATURE OF PROPOSED WORK : * ZONING INFORMATION :
Construction of a new building " A PLOP 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. DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTEDe of septic disposal area .
*
* COMPLETE INFORMATION REQUIRED BELOW .
* Size of property X—J;`r^. 1t ,
" Existing building ( s ) r Size /3 rf t Xf t .
PROPOSED BUILDING AND USE : * Existing buildings ) Use
Size of new structure �' ft X�ft * 4
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one)
* Front yard /,fi ?+I ft Rear yard ft
Side yards d
No . of stories habitable space? ft and yl
Height (grade to ridge ) ft . t
If residential, no. of families * IP on corner , setback from side r+eet - ft
No * of rooms ( excluding baths ) * OCCUPANCY INFORMATION
No. of bedrooms
No . of bathrooms * PRIMARY BUILDING
-
Primary heating system * jdt: One family dwellingPrimary
* Two family dwelling
Type of fuel
Multiple dwelling Number of units
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Now of fireplaces to be installed ' * /
Will a wood stove be installed? * jZPe'rman-ent occupancy
Transient occupancy
Central 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 Sungalo * W
Cape Cod Cottage Other R,4;gej ACCESSORY BUILDING-
Colonial Row Town House * - Detached garage/one car/ two ca . oar
( CIRCLE ONE PLEASE ) * Attached garage/one car/ twa ca / car
* * s * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF " 'Orther
CONSTRUCTION /
IN-FoptMATION ON BUILDING SPECIFICATIONS , ON 'REVERSE SIDE OF THIS SHEET, TO HE COMPLETED !
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . ���
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 )
Will there be a cellar7,&!22 .Heated or unheated? Floe& sqw footage sq ft
Will there be a basement? Will any portion be used as living space?�/,op
( If so , what portion? sq . ft . - - Type of use?
Type of roof - slo a flat/shed/other Material. -of roof
Size , wood studs :_�_ '"X,�`" spacing:+' ""O . c . length ft .
3oists ( floor beams ) 1st . floor ""X "" spacing "o . c . span ft .
Joists ( floor beams) 2nd . floor "'X is spacing ""o . c . span ft ,
overlays ( ceiling beams ) "X '" spacing""o . c . span `ft .
Roof rafters -•"Z{ spacing� o , c . span-ft .
Roof trusses (Pre-engineered)_ pacin ""o . c , span ft .
Exterior wall finish, P afoe ':�i
. . Of what material?
Interior wall finish dF
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? 4i9 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 A F F I it Pl ll' I T
County of Warren 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
complet statem nt of all proposed. work to be done on the described premises and that all
provisi ns of a BUILDING CORE , THE ZONING ORDINANCE , and all other laws pertaining to
the pro sed w rk shall be complied with, whether specified or not, and that such work is
authori d by the owner .
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17
SWORN TO ORE ME THIS Signature
Owner , owner ` s agent , arcmt ect, contractor
y o f 19
Not Public , rren County , N . Y .
SPECIAL CONDITIONS O THE PERMIT :
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By_______________________________________
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY 6 HAVILAND ROADS
QUEENSBURY, 5 g) YORK 1 3209-
TELEPHONE
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION CEIVED —
NAME
LOCATION _.(s4 ? v r,..r_
DATE � PERMIT #- -'' - -
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS fr
FOUNDATION/DAMP—PROOFING_ _
BACKFILL APPR�"OVAL
—}—�—
ROUGH PLUMBA G
FRAMING
ELECTRICAL ROtI!�H—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CE ING _
F AL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESI TFPS `
STAIRS—CLEARANC III"-'-----
PLUMBING FIXTU ES/RELIEF VALVE
INTERIOR TRIM PRIVACY DOORS
FINISHED F RS
GARAGE FIRE ROOFING
DOOR CLOSE (S) --�—�
SMOKE DE T TORS
FINAL ELEC ICAL INSPECTION --
FINAL APP OVAL OF CONSTRUCTION
A SIGNE CERTIFICATE OF OCCUPANCY MUST BE
OBTAIN D FROM THE BUILDING DEPARTMENT BEFORE
THESE k'REMISFS ARE OCCUPIED!
REMARKS :
INs TOR
OWN OF +C EENISSURY
Building- Department
hupectma Repast Dwan QAr= 1 `+ %L '
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Pa t
mk No. SILI- W�st6e,r
Remarks
excava is on
Footing Forms
Food & Piers Z
Foundation
Cement Coat
Waterproofing
Baclrfi ll
Final Survey
FrA�11
Shea thf n
.Roof Felt
Roofin
Siding
Masonry Vendor
Rough Plbgv
Relief Valves
wall Board
Ext . Porches
Finished Floor
Inter-for Tri
Stairs & Ra4alngs
Cellar Dr . ile
Concrete f2ooXs
Plbg . Fi hares
Gar . Fi a roofin
Door closers
Chirnne
water ter Inst .
Septic APArOval
Floors
xnsulation o elation
Walls
Ceilin
Building Inspector
REMARKS
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