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87-071 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-71 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Donald and Barbara Harvey OWNER of property located at Bay and Lockhart Mt.Roads Street,Road or Ave. p, ed Two—Car Detached Garage in the Town of Queensbury,To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and er, approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. per, x 1. OWNER'S Address is RD #1 Box 1385 Lake George, New York 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address same 1-t rt 4. ARCHITECT'S Name rt • a. 5. ARCHITECT'S Address to w 0 w a, 6. TYPE of Construction—(Please indicate by X) to ( a Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications 24'x30' per plot plan, specifications and application submitted, No. H 4 0 o I 8. Proposed Usefrt Two—Car Detached Garage t:=1 CD rt w $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1 1987 a, (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the w town of Queensbury before the expiration date.) rt w eQ co Dated at the Town of Queensbury thi`s-�,,,18th Day of j March 19 87 //SIGNED BY ae% a /`�of for the Town of Queensbury Building and Zoning Inspector (' 5 -- 1— cY. / TO BE COMPLETED BY BLDG. DEPT. TOWN OF 01Jr.ENSSu=--.v �] / Application No. ``''� ^, sown of Queeniurj Permit Issued 19 p T P 1I 'M,t (!; BUILDING and ZONING DEPARTMENT Permit Expires 19 b 4 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation t MAR 1 8 1987 Queensbury, New York 12801 Variance No. a Site P1 eview N . BUILDING & COUE DEPT. Appr ed b : I APPLICATION FOR A Al ) (U©� i - BUILDING AND ZONING PERMIT AA) d, * * * * * * * * * * * * * * * * * * * * * * * * * * # # * * * * * * * * * * * 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 conditions as may be indicated on the Permit. The owner of this property is: Dorm a I d � ,,'`i(. ;.i ;a.,r /q.7r 1/ Cy P.O. Address R,U, I 130 X /Z t `J I-k kit) 6e. r 9 l IVY Tel. 71 6 Z Y2 Property Location: S'IM(J Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: r'� �✓a' �i C1 <, 1 ot Y QQ V`7 Name P.O. Address Tel. No. Name of builder Address Tel. Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: X 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 * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property ! b0 +- ft X 600+ ft. !g•s6�'a' * Existing building(s) Size 6 ft X y 5 ft. * PROPOSED BUILDING AND USE: Existing building(s) Use .1-1r/YJ 0 Size of new structure V ft X 20 ft * Foundation-pier slab /crawl/partial/full * Proposed building, distance from property line (circle one) * Front yard ,W/�/7///✓ ft Rea yard ft No. of stories (habitable space) / ,�"r ►� AM ft i * Side yards n Height (grade to ridge) (y ft. * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) * OCCUPANCY INFORMATION * No. of bedrooms No. of bathrooms * PRIMARY BUILDING - Primary heating system * One family dwelling Type of fuel * Two family dwelling * Multiple dwelling / Number of units No. of fireplaces to be installed Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other && a_ - Q u�v�.5 ' /`4 c�o r Raised ranch Mansion Duplex If addition, what will use be. Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * )( Detached garage/one car/ two car/ Q car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. �z"-o" Will any second-hand or ungraded lumber be used? If so, for what? /1/a Foundation wall material F2 //i/q) .,�./) � Thickness 6 exgA u? /NLit Depth of foundation below grade (td bottom of footing) Will there be a cellar? //o Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material of roof Size, wood studs 2 "X /1 " spacing "o.c. length '? ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing /© "o.c. span /;( ft. Roof rafters "X 6 " spacing /6 o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish (iO4,ok Of what material? Interior wall finish /vv 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? 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 AFFIDAVIT 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. SWORN TO B FORE ME AHIS Signature)( Owner, owner's agent,aai 'fiitect,contractor day f 19 Notary Publi , rren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIA CONDITIONS OF THE PERMIT: By TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME Itrz_u --y. LOCATION 1347 )p i o DATE //a3/ gr PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING (FINAL INSPECTION: @si,,,_6,e CHIMNEY HEIGHT ROOFING SIDING rx EXTERNAL PORCHES/STEPS r/;:- STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRThI/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: o,�� �(1i4L ��1� N Sp I --f INS ECTOR Y2V _town of Q n.j urcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME i`4p7 LOCATION (A es, �� /7// Date/G1 7 Z/q`? Permit No. ' * * * * * * * * * * * * * * * * * * * '* * * ✓ = APPROVED - YES / NO Ae.ting/Pierermsi "X__Foundation ///7 Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors lbg. Fixtures dar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation ) Floors Walls Ceiling FINAL ELECTR CAL INSPECTION DRIVEWAY APP' 1VAL Final Building Survey Next scheduled inspection (call when ready) Remarks- r/j/( / 1--"''' 11. (71C ' Z Buildi Inspector 6/86 and-vl _awn of Queenstur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 136,1 /& ? LOCAT I 0N L S.8 '--'-- Date 9/2 / Permit No. gl-fig` * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofi g Backfill Framing Roofing )A5r . Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til: Concrete Floors Plbg. Fixtures Gar. FireproofAng , Door Closers Smoke Detect.rs it Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELE•TRICAL INSPECTION qyaVEWAY A'PROVAL anal Building Survey Next scheduled inspection (call when ready) Remarks- Ci6 fon /7 • as/pcJd /17 0/- ea, Buildin' In p-rtor 6/86 and-vl BUILDING and ZONING DEPARTMENT I Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 O iI h;'avv-rt,. , r BUILDING INSPECTOR' S REPORT i f'` NAME 000 Imo" "` cf f �` I LOCATION pE/3,4 v, Date /0(/ t 7 Permit No. 7 _ frn * * * * * * * * * * * * * * * * * * * * * * * 7 — APPROVED - NO ,� P Footing/Pier Forms CAA/I a& %' Foundation ' - Waterproofing ,_ Backfill ��-- /21 X t. C6:2 ^ Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings \,,,x( , . Cellar Drain Tile _ -_- __.___ Concrete Floors L_—_i Plbg. Fixtures / \ . Gar. Fireproofing � \ Door Closers Smoke Detectors / { _,____.__._- ----________. ._ Chimney t` INSULATION: Foundation / Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey _ Next scheduled Inspection(call when ready) Remarks- - i s ; C ,../j ...-ea. Buil ng Inspector `i_z., A-?- 6 -b 6/86 and-vl 1 4 u` � o = � � | i � | -u m ) = | `- { | i _~ = - o � oo ._ | � � | ! ~ | ^ r ' | � | � ! } � � /- � \ . ,.."1C. \\\\ s)( i a \ 1 8 \ oa .... ........ ,,,. .�- :,, s 2 \\\\, ,,,,, ,,,, r E-3 , .x. ,, ______ Z. N ---------____________------ ., ro , ..... ___._ ....... 4!.0.:e ,x, tb A e \1 Q. ! 1 1 BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. (TEMP.# (DATE I CITY OR �` f VILLAGE TOWNSHIP �6.�V Y✓ °US t:yC`/ COUNTY IVolvia STREET AND NO.OR f ROAD AND POLE NO. �" / i :'E G. POLE NO. BETWEEN WHAT TWO s 1 _ l !A PREMISES LOCATED? 0V4 #c" /O (, 4)t7`idt, ti,1 ' SECTION BLOCK LOT OCCUPANT'S gJ BUILDING ,�t NAME Z y':s I , '`x ;e r'' r / OCCUPANCY k/117/I 6 4 OWNER'S NAME TEL.# AND ADDRESS ; . CURRENT SU ' %-1, BY FROM FROM THEIR 1.;_rl ..) r'j, 1/ j OFFICE BSUILDING NEW Pt OLD❑ WORKSNEW $,, ADDITIONAL ID REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED - Lamp fixtures& BRANCH NUMBER OF OUTLETS Receptacles MOTORS HEATERS CIRCUITS OFFICE USE Loce- ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub- base Base ment 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. /t�2,r_t6l: W4 et au(, . '.u6 if-- (Z&aA vu t This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW 111 OLD 0 AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS _ NAME OF / DATE OF APPLICANT C, , •. , i / ', :--': / APPLICATION /� € STREET ADDRESS /I A . •Y / ` ,� TELEPHONE# :l t. ji ., ,>` CITY OR /-' ZIP LICENSE NO. POST OFFICE f CODE ,./ ,r i WHEN APPLICABLE 46 EL (REV.1/85) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING • '-�•ti�.,,t,�•c�•,,�•.�•��•,,�.,,,•,.��,-�t,.�•,-�..�•.�..,�,,;•.��.;�,•.,•, • ,•, ..,,�•„•.�•.�•.�.,,•,��,.�•«•tire.,•c�t �.�•,,,�,_;.,.,t, •, ,•,_,.,;�,-�..,•, ,., ,., ., ..; ,., ,.,�. 4087285 THE NEW YORK BOARD. OF FIRE UNDERWRITERS --' r BUREAU OF ELECTRICITY Fta 41 STATE STREET,ALBANY,NEW YORK 12207 '` Date JUne 14, 1988 Application No.on file '' THIS CERTIFIES THAT • 006834/87 A 7 '?4 -. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of t Donald B. Harvey RH #1 Box 1385 Bay Rd. LaGrange, New York garage in the following location; outside 2 1 8 .2 '. f g ❑ Basement 1st Fl. ❑ 2nd Fl. Section %lock Lot was examined on and found to be in compliance with the requirements of this Board. '. 6-1-88 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '. OUTLETSINCANDESCENT.FLUORESCENT NaCrgr AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. MAT. H.P. 'i, 2 3 2 • DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'►T, TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS MAT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. MAT. MAP. MAT. AMPS. TRANS. AMT. H.P. NO. FEET MAT. WATTS • SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1.1 2W 1 0 3W 3/3W 3/4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. 'i EQUIP• PER d OF CC.COND. OF HI-LEG OF NEUTRAL • S iS -:' OTHER APPARATUS: .I • ia 0 . 0 Donald B. Harvey 771(r5,a.-4-.A.12.- -7,..., Oi E RD1 Box 1385 0 Lake George, NY 12845 239 BRANCH MANAGER • Per `. • This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. • COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.