1989-125 - i.. r i+v-Il j yp irew - �' '1??et a•' d ".+ .. o:.'F,' Jai It r ,. `
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+CERTIFiAT ` (] ` cQ1VIPLiA�NCE '
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date June, 29 lq $�
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'k sa to to crrti It at work requested to be done as shown by Permit Na..
i
has been completed.
This structure may�be� �d as a
Location -
,I {der it eC3
By Order Town Board
TOWN OF QUEENS$URY
Director of Bldg. t5c Code Enforcement
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3 BUILDING PERMIT '
TOWN OF QUEENSBURY '
WARREN COUNTY, NEW YORK
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to
PERMISSION is hereby granted to 1
lV
Street, Road or Ave. I
OWNER of property located at
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in the Town of Queensbury, To Construct or place a C'ncrPt^F t
at the above location in accordance to application together with plot plans and other information hereto filed aned
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t . OWNER'S Address is
Same
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2. CONTRACTOR or BUI LDER'S Name
"d
Self 0
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3_ CONTRACTOR or BUILDER'S Address. �
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Same
4_ ARCHITECT'S Name
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5. ARCHITECT'S Address ::I
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6. TYPE of Construction — (Please indicate by XI
{p
i ) Wood Frame C 1 Masonry { 1 Steel
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7. PLANS and Specifications
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No. 12r i 12 ' covered deck as per plot plan , specifications , .
and application .
a. Proposed use
Deck
a
c
ro
10 . 00 c/c f°
$ 8 . OIL. PERMIT FEE PAID — THIS PERMIT EXPIRES
{if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t
town of Ousensbury before the expiration date3 CC
r.
Dated at the Town of Queensbury this Day of _ pp r '
4 for the Town of Queensbury
SIGNED BY
au ng and Zoning I Spector
TIC 4 N OF QLJEENS13URY APPLICATTION FOR BUILDING AND ZONING PERMIT
TOWN OF 'QUEENSBURY
K L Revs: ed RECEIVED
ly
Fee T'ctt:d �� `"�
�-' MAR 2 1989
BUILDING AID CODES U[ J'AWDIE `fI` Dct.,te Iaaued BLDG. & CODE 8eT.
BAY and t1AVYLAND ROADS RD 1 BOX 93
0UErjVSBURY4RIE17j Yoll 12804 Pe m :t NO . a . -
Tel . ( 518 ) 792-5832 Ext 20A
■ Is R x s 7I Is ." ■ ■ • ■ ■ ■ ■ f .. ■ w ■ ■ : r f
A pER11IT riIUS'r LI� OBTAINED UE- FORE BEGINNING CONSTRUCTION . NO INSpIC`!" IONS
VI LL BL: HADE UNTIL APPLI CANT IIAS RECEIVED A VALID BU° I L.DINC PERMIT .
All applicable spaces on this application must be completed and the
ti � �■ Mature of the applicant must appear on the reverse side Of this Sheet ,
A
'file owner of this Property
! f�2 Iyr _ L �+r ara `t T E L . �
040 , Address L'/ t,
—' TAX MAT' /A
31roperty location ,7 'c'rf7
ttas there been any split of this property sine October 1 . 1988 ? ye $ f� i '
If yes , Planning Hoard Review is necesaary . LOT NO .
SUI30IVISTOM 11AMC , I1" APPLICABLE
The person responsible for supervision of work as regards Building Codes is :
P , C] . TEL . N
ADADDRESSO ,NAME Tel
name of builder Acidness Tel
141 of Plumber T.ddress Tel
Maine of Mason Address
1 1.1TURL OFC'ROf'QSL'R I,OI.h. . ON l CitA I N 1-4O R1.1r'►T I ON ( Of f i c O u s O only )
Con::trucciort of a slew buildirt+l BONING DESIGNATION OF PROPERTY
AdJition to a buildistg = PERMITTED PRINCIPAL PERMITTED ACCESSORY
�A1L4.l Lion Co L l.uildirig r REVIEW REQUIRED - PLANNING BOARD ZONING I30RRD�
Oka clt:tn47L; to exc � rior cii.tnen`s�ians)
UICIttsr ti orh {J. scrils�rl SITE PLAN REVIEW #_µ_ APPROVED DATE 1
VARIANCE N l'.PPROVED DATE
G tOSS AiLUA ❑Y" PROPOSC04 ::* T tUCTURE w
sq f t , Resnar3;.s
1st Floor �� `
2 n d Floor sq f t . , COltI'[.1i"4'1: . I�;1'Ol;J th'1'SG1N tt1 t2t1` 1cl D ui L U+.1 , 1
" .e of proF�urty ! ft
Other Floors sq ft "� Lati::tiltC} 1]uilalina] { »)�i =fc x rc r' c •
( not Cellar or basement ) r
TOTAL FLOOR AREA sq f t ' L'xia ti11�} 17uilalini} � + ) Us`
of nQw structure x j
iirle
►'ouatda tion-pier/s1aL/crawl/parclui/ cull Proryo:+tad buildincl , di:: Lance rrolrt L. rtayertY
(circle or1c: ) Front yard fc Rear Y
_ ard / C� {'� ft:
lIlIlIll
Nab . of scoriew ( k"6it:z4bl►_ s'l�t+ce) ^,�_ Side yards. �& ft :and _ " v�t`f-__Wl �" Ic
IIIII 'tt ( grade to ridC�w1 /O- ft ' * If on corner , Lb- ck from side: scrwoC cc
If rlouiduntial . nO . Of f:a1s►ilies „ �' ,� OCCUPANLY 1NF0r%J`sATICN
noll of rootan texcluding b"thslw
tto . of bedrooms PRIMARY GUILDI"O
Noo of b:ltitroout:: Onc1 fanily dwelling
t1riut;+ ry Iteacinr} �y«:t cut 'iwo x;.uti.ly dwullin&l
Typ" of fuel Multiple dwulling / Number of units—
No . of firluplacus to bQ lnzcu e lld occup;ukcy
Will :a WI ::Lou.: kaa� d n1: t:allwd ' � "ix:ansiur►c ciccullarscy
i :ntt;rl rise costttitiunirlg:' uuulnuas
UU ) LIDING STYL.C, PRIMARY STRUCTURE . I1lclustrial
r Ocher
k_utch Cont.uuisor.ary Ll CL611in if „d3itiosl , w1,ut will u::rb
l,.:a ..red ra nC11 M:.1nk1iratt Dul,lca.x
Upl.ic lev.:i Old scyla uut►t}.alow . ACCL"55oRY t3UILt}I19G-
iL:Lpe Cod CoLzaq.: Orlwr # c:ar
Cploni:.l 1ww Towri House D,:tAch+ad glarztgo/one czar/ two c:ar/
[ CIR.CLL ON1:. PLEASE I
Attu, hu4 c1"rugw,/orla car/ two aa.r/ cµc
. ■ y * ' „ . ■ ■ u = i w W PrIv a " storage building
t : '1• I MA"t` lii3 MAR1G1"i' V Al,u L OF ' ~ Ocher
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7NC'Of;kL&Tjam ON DUrLDTNC SPrcIFICAlTic,*150 ON T1.L`VERSE. SIDC OF THIS CHEL"T, '1O RE COKPLE'rreat
Farm VP'A 10/93 V1
BUILDING PERMIT APPLICATION CONTINUED -
SUIILDING SPECIFICATIONS :
Type of construction , wood , fire safe , etc .
Will any second-hand or ungraded lumber be used.? If so , for what ?
Foundation wall material r�
C Thickness
Depth of foundation below grade (tq,.bottom of footing )
Will there be a cellar?'-- �H ed or unheat ;�= Floo sq . footage £t
Will there be a basemen Will any Lion be used living spat .
( If so , what portio ��s ft _ - Type of use ,p -� "'
Type of roof - sloped/flab 7ed7other Material of roof
Size , wood studs --,i ��—���` "" t
"3C spacing r'o .O . C . length ft .
��015ts ( floor beams ) 1st . floor rrX " spacing "o . c . span ft .
J u u n
p u n
rafters r, X
spacing o . c . span.Et .
, gin4 h _
If a garage is to be atta b describe materials t e used for FT E TION :
Is there to be an o ing between arage and ling? If so zl1 a re-ratEc3 r
door , enclositnce , d seelf-closing vice be rovi ?
Will a flue-1 ' d},chimney be installe ? _ Heigh sbove Tr, of ft .
Depth of ch ' ney khundation below gra ft ,
Depth of replace he th ft . in
Water pply - Municipa r pr ' to well ~1
SEPT SYSTEM Distance fr ANY private well�rrbluding adjoining perties ft
(A eparate application ne ssary for any �repa ' r or new installation of septic system)
D E C L A R A T I O N
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 BUILDINGG 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.
Signatur�-o
Owner, owners agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT :
BY
TOWN OF QUEENSIBURY
BUILDING AND CODES DEPAR'jMENT
BAY & HAVXLAND ROADS 1280k
QUEENSBURY, NEW
YORK
92-5832
,TELEPHONE (
518)BUILDING lNSPECT'OR' S REPORT
REQUEST FOR INSP TTON REC ZVED
NAME r—
LOCATION
imp � PERMIT #�_ --
FATE AppROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR PROOFING~
FORMS
FOUNDATION/DAM
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROU —IN
INSULATION:
FOUNDATION
FLOORS
WALLS
f ,CEILING
too FINAL XNSPECTTON*
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESISTEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURESIRELIEF LIVE
INTERIOR TRIXIpRIVACY
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSERS)
SMOKE DETECTORS TXON
FINAL ELECTRICAL X?II RUCTION_
FINAL AppROVAL OF CON
OF OCCUPANCY ST BE
A SIGNED CERTIFTCAT BEFORE
OBTAINED FROM THE B TLDXNG ,DEPARTME i
THESE PREMISES ARE CCUPXED!
REMARKS *
IN ECTOR
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