1989-083 {r "Y�1f�'�°'R7�,yf'h x • r+*'
ICATE' { COMPLIANCE0.
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CERTIF ` .
TOWN OF QUEENSSURY
1
WARREN COUNTY, NEW YORK
j L)atc ' 19 L
This is to certify that work requested to be done as shown by Permit No. '
has been completed. Cr p
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This structure may be occu2ie4 as a
i.ocation
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By Order Torun Board
TOWN OF QUEEPIV
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I A r
i Director of Bldg. Z5c Code Enforcem
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BUILDING PERMIT
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TOWN OF QUEENSIBURY No. 89 _ 83 � 0
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to William Threw
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OWNER of property located at Eagan Road ( G+f f ) Street, Road or Ave. 1
in the Town of Queensbury, To Construct or place a Screen Xb6XWX I H I7 c P
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.
F2CON
ER'S Address is
RL7 # 4 Box 516A Big Bay Road �.
Queensbury , N . Y . 12604 n
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TRACTOR or BUI LOER S Name
Self r
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3. CONTRACTOR or BUILDER S Address !L
Same
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4. ARCHITECT'S Name tn1
(D
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5. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X)
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( ) Wood Frame I ) Masonry ( ) Steel ( ) S7r
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7. PLANS and Specifications
No- 26r x 261 screen t§NXXX house as per plot plan , specificati ns 0
and application .
8. Proposed use O
rt
Screen House H
25 . 00 c/o DIM
9
1 19_
$ 56 . 00 PERMIT FEE PAID — THISPERNdiT EXPIRES Octc7� �
(If a longer period is required an application for an extension must be made to t h a Building and Zoning inspector of the p
gown of Queensbury before the expiration date.)
C
15th _Da of March, 79 a r
Dated at the Town of O.ueensburythii�s�/ /] r
SIGNED BY for the Town of Queensbury r
$u1Iding and Zoning Inspector S
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TOWN OF QUEENSI3 URY APP i. I CATT ON FOR BUILDING AND ZON IN- Pr•.R1v1TT
ed
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J Fee. Pei
WILDING AND CODES Ul '3)ARr0 :A:'T pate. I.6.6ued
tAY and tfAVTLAND ROADS RD I BOX 98 Cr2
{)UEENSEURY,* NEW Y0JRK 12804 Penmtt NO O J
Tot . (518) 792-5832 Ext -204
.* * * * * * A* * t * * a a * * * a
A 1'1~1t11IT musvC B4 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS
#+` ILL BL"• MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT .
All applicable spaces on this application must be completed and the
s ; +Yttature of the applicant must appear an the reverse side of this sheet .
is ik aA; x is ar ie tit * * x * -A is is * * 9e i'e io 7k ie �c is it ie ye yc�-,ate ek k k �e
The owner of this Property is : en `� �" ''c��.§iI-rT�� �t-�,�-aC�
TEL
P O . Address
TAX MAP NO . / �t'� Tr �I'
Property location r
ilas there been anY split of this property since October i , l9 $ 8 ? _— =y
If yes . Planning Board Review is necessary . LOT No .
SUBDIVISION NA14E , Ir APPLICABLE
'f• he person responsible for supervision of work as regards Building Codes
NAME P . O . ADD)I R .S� 5 Tel
�—,r�--•'`- Z-
rJame of builder GL -rc r'' �wt -x
/ Address ch x sI h .� G /1'+
?.ddross Tel - -~---•
Name of Plumber - - Tel
Name of Mason --- .ddress
uitATURE OF C'C.OPQSl ED %rCORK: * ZONING iNi:O [ukA.` 16k ( office use onlv )
Cc�n traction of a ria w bui ldiriry IV ZONING DESIGNATION OF PROPERTY
tidaliCion to :a builJirig # PERMITTED PRINCIPAL PERMITTED ACCESSORY
a ration to a #;utiding „ REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
titia clusnga to 03xta: rtoc ciimensionsl APPROVED DATE
Ochker work (Nu:Crib•&) SITE PLAN REVIEW #
,. VARIANCE # APPROVED DATE
CROSS AREA OV Pf1OPOSOU', :;#"UCTUR>r
1st
* Remarks
Floor f t .
r
2 nd Floor sq f t . w C014PL E'T . 1p11'Of wWrION liotUIliED
p' t }r
- sq f t . * ai'le: of i»ro� ,urty. 1 �rt .
Other Floors yy�js;tirtic� buiial.Ljicj ( :31 Si-u '�1 s t x
( not collar or basamont ) •
TOTAL FLOOR AREA .4Ce44a sq ft . ' Lxi::ting buildinutti ) us,: zz1 :0 ier��
4.' iX4 of now structures �ft X "ft '
r•'onurdation-pior/s:lafa/crawl/parriwl/ full Nrop3Zva building , r1i!;rancu fraui LirularsrGy li
ft
(circles one ) Front yurd� ( CrJ ft Rear yard �
Na . of stories (h,;AbiCZ4blQ !:1304►Ce ) - Side yards A ft and
11a;ight ( yradu to ridges ) f t • If on corner , UU back trora SidL�c ri eG_.�--f t
If raSida+ntials no. Of Atai i es oCCUP,pjyCY INFOMATION
No0 of roo4ela texcludin+l b"thsl �Z4 W
Noo of budrooins; ; lY DUILDING -
No * of fansi.ly dwelling
torisaary 1ruaC1jWJ s;y;:•s: e:us �!w=---- - Two fa"Iy dwulliny
typ,s of fuel HoAltiple dwr;.11ing / Number of units __
No . of firetalacu:: to ba insta Cd 4 * Perta"reent occuraney
Will :a wuuei :Move: k+� irs tt:alle:al ' '1'xansiurst occapancy
a
cuntx"l Air cas�alitiunis►g: * uuslnuss
BUILDING STYLC, PRIMARY STRUCTURE Industrial
Ocher
1c:asrch ConC+:xulx.s: Ary "a cabin if addition , wh"t will uua: bast
sx.aitsa:d ranch id ►nyiu+s Dul-1lux '"
L1 LL3Ma a1Dw +
4131iG 14ve 1 t- cy • RCCV.SSORY UUTLDING-
Lralaa: Cod -+cJ` OGlisr car
i'Dwrs 11CUSL '" watachad qura690/ono cur/ two car/�,_,� -
colonial I'ow cue'
( CIRCLE OCtli PLkArE ! ' Ar Gaa:ha u garage/0J7a: car/ two car/
w * * ■ * a it a + a a a a . * * 111x'iViatr- stAri,ago bali.ldi.ng
• Ocher Ca - A' c� �� .c/
Y:: .'ri 'l' T M A`1'1: 13 M A^ R K l'='1` V A I. U li OF # -+
CQN :.:'1' ItLJC 'l• ION � ^
INFOR IATTON ON DUILDING S "C'"CATIONs , ON RL•'VERSE; SIDE of Tills stleEr, TO UE COKPLETED1
Form BPA 10/88 v1
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 cellar? Heated or unheated? Floor sqa footage s ft
Will theme be a basement? Will any portion he used as living space ? K3
( If so , what portion? sq . ft . - - Type of use ;,
Type of roof - sloped/flat/shed/other Material. of roof
Size , wood studs " X Is spacing "o . c . length ft .
Joists ( floor beams ) 1st . floor "'X IN
spacing "o . c . span ft .
Joists ( floor beams ) 2nd . floor "x No spacing "o . c . span ft .
Overlays ( ceiling beams ) "x " spacing '"o . c . span ft .
Roof rafters "'X,�,�__ spacing4qo . c . span ft .
Roof trusses (pre-engineered) spacing IN span ft .
Exterior wall finish Ei- ALt'� Of what material ?
Interior wall finish .=I1 4 -
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? ,N,/e, Height above roof ft .
Depth of chimney foundation below grade+�__-
Depth of fireplace hearth�.�ft . in .
to
Water supply - Municipal o� private well
SEPTIC SYSTEM _ i� from ANY private well ( including adjoining properties ft _
(A separate application is necessary for any repair or new installation of septic system)
DECLARATION
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.
Signaturei�'z-
Ow erg owner's agent , architect, contractor
SPECIAL CONDITIONS OF THE PERMIT :
By
TOWNANGD
SB RY
BUILDDE DEPARTMENT'
BAP & FtO DS
QUEEN ' Y RK I28Qf�
TELEP ) 92-5832
IN INSPECTOR' S REPORT
REQUEPE TION RECEI D 7 3toNAME /7
LOCATION j
DATE 7 PE T l�� f +
APPROVED
YES I NO
FOOTING/PIERS
MONOLITHIC POUR F S
FOUNDATION/DAMP'—P FIN
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—I
INSULATION:
FOUNDATION
FLOORS
WALLS
/ CEILINI
✓FINAL .INION: ,CHIMNEGHTROOFINSIDING
EXTERNRCHES S PSSTAIRSRANC & ILS
PLUMBIXTUR / IEF VALVEINTERIIM/P VAC DOORSFINISHOORSGA2:AGEPR INGDOOR C (S}SMOKE CTORFINAL ELICAL INSPEC' '.TON
_ FINAL APL O CONST"' CTIONOK TO ISC/O R C/C
A SIGNED CERTIFICATE OF CUPANCY MUST BE
OBTAINED FROM T E BUILDIN DEPARTMENT .BEFORE
THESE PREMISES RE OCCUPI !
REMARKS:
ARRIVE 3 D
DEPART../f' 1141
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INSPECTOR
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