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87-568 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-568 WARREN COUNTY, NEW YORK co I PERMISSION is hereby granted to Frank and Marie Brenneisen � I OWNER of property located at Glen Lake Rd. Street,Road or Ave. O0 in the Town of Queensbury,To Construct or place a Addition—Deck 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. 1. OWNER'S Address is RR1 Box 1731 Lake George, N. Y. 12845 ,y n 2. CONTRACTOR or BUILDER'S Name w Bill Doherty p, 3. CONTRACTOR or BUILDER'S Address ri F'• (D P.O. Box 1384 S. Glens Falls, N. Y. 4. ARCHITECT'S Name r• CD 0 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (g)Wood Frame ( 1 Masonry ( )Steel ( 1 x CD 7. PLANS and Specifications • No. 12')(38' 6" and 7' x 38' r_extarior. -deck per plot plan, specifications and application. 8. Proposed Use Exterior Deck to One family dwelling rt r• 15.00 March 1, 88 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the co town of Queensbury before the expiration date.) 7' Dated at the Town of Queensbury this 25th Day of August 19 87 SIGNED BY O /Z7-,4 C.l ,d2e—a/,t) for the Town of Queensbury Building and Zoning Inspector /U/V TO BE COMPLETED BY BLDG. DEPT. �] / Application No. ;.Q4 ,loom ofQueeniur1 Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Ex ires 19 tl ill ' p IL_j. ICJ Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation `' 1 Queensbury, New York 12801 Variance No. AUG , 19 - Site Plan Review No. 34' Approved y: BUI, ®ING CODE DEPT APPLICATION ,FOR Uf 1V15 x BUILDING AND ZONING PERMIT _... 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: F.Cp.1 k cuql,d. Mari' 8ee,,nrigiseel P.O. Address 6161/4 take tea Ri .3 /taX /73 .1 take i ec is,e J_A'.l / oTel. 7?3-6il2Cv Property Location:-Bb X 1-7 3 i (-ICA LA.e._ ?JAb C ,14.4, /tvp. A, 'ax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: h^..1,14 +4 Marie Bee..sn c R`sert Name P.O. Address �Z�oTel. No. Name of builder gall baste-e Address RO:4x /is/ (6.614t s14)NYTel. �° 61)7- '12 Q+' Name of plumber NJ Address Tel. Name of mason ,Naha= 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 Alteration to a building * drawn reasonably to scale and attached hereto, * 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 gX.t'e er'' Uvuovexe.A. I * 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 Joe ft X /7 ? ft. * Existing building(s) Size 3C ft X 'gyp ft. PROPOSED BUILDING AND USE: *pt.fadta 6a("4.gG Z`� 2 ` K 4f /2. X. 3 S 6° Existing building(s) Use Size of new structure 7 ft♦X3 , ft * Sers9/,t_ , a,..,,,'1y le�66.4.es4,42 Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line i (circle one) * 4s� No, of stories (habitable space) —+ * Front yard VS. ft Rear yard ft Height (grade to ridge) ft. * Side yards 3 ft and /s' 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 - Primary heating system • One family dwelling Type of fuel �y * Two family dwelling No. of fireplaces to be installed —• * Multiple dwelling / Number of units Will a wood stove be installed? ---.. * Permanent occupancy Central Air conditioning? --• * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * X Other , �tR.c'1't�r D¢Crk Raised ranch Mansion Duplex * If addition, what will use be? eJc 1-e.1.•iee &giro Dac,�, Split level Old style Bun•alow * Cape Cod Cottage Other * ACCESSORY BUILDING- /� /� Colonial Row Town House * Detached garage/one car/ tw car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * ---Other CONSTRUCTION * $ ‘'rd© Q 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. &cDo4, T4u„41R Will any second-hand or ungraded lumber be used? If so, for what? Aid, Foundation wall material Alifl. Thickness Depth of foundation below grade (to bottom of footing) 4i$ ° li, pier Will there be a cellar? AIO Heated or unheated? Floor sq. footage sq ft Will there be a basement? go Will any portion be used as living space? (If so, what portion? sq.ft. - - pe of use? Type of roof - sloped/flat/shed/other /V /l. Material of roof Size, wood studs ,t)//4"X " spacing "o.c. length ft. Joists(floor beams) 1st. floor 2. "X $ " spacing /4 "o.c.- span /Z ft. Joists (floor beams) 2nd. floor N/14-"X " spacing "o.c. span ft. Overlays(ceiling beams) , Jf. "X " spacing "o.c. span ft. Roof rafters /t/!/4"X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. ` Exterior wall finish I Of what material? Interior wall finish 1A If a garage is to be attached, describe materials to be used for FIRE SEPARATION: /114('M 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 . ..lication, together with the plans and specifications submitted, are a true and complete tatement of all proposed work to be done 'on the described premises and that all , provisions of the BU .ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the propos, . work all be complied with, whether specified or not, and that such work is authorized .y the owner. • SWORN TO BEF 1 -i�iL� _� %ME THIS Signat J _ _ _ _ -_Q • �. Owner, owner's agent,arcthitect,contractor d. o . 19 Nota , Public, 'arren County,. N.Y. * * * * * * -* * * *' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: A J 711) I I By TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED A1//q0 NAME /(LLOG f fide. dJ,?JYIJX��!-�l/KJ LOCATION aJjX, p` )G(,4ddj DATE j/g/q PERMIT # APPROVED add- !4 ic,L, 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: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & :RAILS PLUMBING FIXTURES/R 'LIEF VALVE INTERIOR TRIM/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 OCCUPIER! REMARKS: D C.CPu D dzs 6-6 gr Pb-i- -t SPECTO sown of Queeniurty �p 7/ BUILDING and ZONING DEPARTMENT (,�-' Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME rdGr/ l?/7i7 et See LOCATION L9 / L/ n/ Date/z/ / )7 Permit No. ?1.5bi * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - Y '/ NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- (9(e /6, Building Inspector-- ' 6/86 and-vl -- -- ...._ C .. i •f.. .... r fa, ..,his _ - __ .:_-.v�<,...`_ _� .� ..- �. m _w � _ .w .. -. �� ><-+».e., .� f�'. w - ,=T. -._.. ,..._a:-:....,- ..:ems..-., •-�o. -+ t . .. .. s - � .. .. ... .r.. .w. ...a. •. ..�.... .r- .. '� r. r. - .w - 'i s. ... s+s..sa.., r.. ♦ � a ..r'as�. r -w..w•-", -o--: r •it. 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