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87-073 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-73 WARREN COUNTY, NEW YORK n a, PERMISSION is hereby granted to Richard and Josephine Kukuk OWNER of property located at Assembly Point Road/Lake George Street,Road or Ave. in the Town of Queensbury,To Construct or place a Two—Car Detached Garage at the above location in accordance to application together with plot plans and other information hereto filed and CD approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. x 1. OWNER'S Address is RR #1Box 1349 Lake george, New York 2. CONTRACTOR or BUILDER'S Name David Fuller rD 3. CONTRACTOR or BUILDER'S Address 7751 Oakwood Drive South glens Falls, NY ,b 0 r• 0 4. ARCHITECT'S Name 'Y 7d 0 w a, 5. ARCHITECT'S Address w m 0 CD 0 6. TYPE of Construction—(Please indicate by X) OQ ( )f Wood Frame ( ) Masonry ( )Steel 1 1 7. PLANS and Specifications 24'x32' per plot plan, specifications and application No. $ O 8. Proposed Use H. I rt c� Two—Car Detached Garage (with storage area) 113 rn rt t7 o m n rt w w G (D 0' $ 16.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1 ,19 87 w a. (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D 0 town of Queensbury before the expiration date.) w rt 00 Dated at the Town of Queensbury this� 20th Day of March 19 87 iy fD SIGNED BY / ���%'� (7. N for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. Tt3WN OP rl°1F:T'NS:t, , c� Application No. d D �locun of QueeniktryPermit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 MAR 131987 ' Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation /./ Queensbury, New York 12801 Variance No. BUILDING tic CODE DEPT. Site Plan Review No. 7 - / - 02 Approved by: 0•00- ��P �t i - (� APPLICATION FOR • o�/� _i lit BUILDING AND ZONING PERMIT A C 0 __..._�.____.-_ * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * ::# 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 thee Permit. The owner of this property is: g iG /f 4teD /1 . 'V :/ esi Ertl IA,/_= % K I) /"f v/� P.O. Address 6 0 { /,3 ii p , D / .4. 4 KE G-ear C A/ .,t-' Tel. (, •.S6 " /723 Property Location: 4.S•(%n., 6 z f ,r- /1'D Tax Map No.Z.11 / 7/ 7 Street number or building lot number I.G T- ' '././' jir`ra" Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: 3 V xv/v J•'b,f'l`,/'<.d x'1 /?/c/t sf/e P ff lir c-,fig a/( h/3 &-,.: i- G-',vrr-n 440v4e-st D FL ,.f7A 4/,P` V3 - 6/(/3 Name P.O. Address Tel. No. Name of builder bAv,,v /SA-/-/re Address .,"-s I C''s1h w,,,D De, 5..6ze,, Tel. 2 y3 -- d/3 0 Name of plumber Ncwf Address ' tel. Name of mason b 4 vi je) ,,` L/-Jt Address /. Tel. 7 73 - / 3 0 NATURE,/ OF PROPOSED WORK: * ZONING INFORMATION: /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 clear?.y and distinctly all buildings, (n chaxnge Lu eX ,''' i_ov dim ens. Ions) * wt . ther ^.xi..tiny ;r p .:iposevl. and i.ndi ca, e al ). 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 AFFECTED. of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property ' 'o ft X P s ft. * Existing building(, Sizes-4- ft X 3 v ft. * PROPOSED BUILDING AND USE: Existing building(, ) Use o qg f,4", /L- Size of new struct e 2. V ft X 3 2. ft * 3 0 too r,, AA4v hi w 'fi '3 45.t'"/t-^'r Foundation-pier IOW crawl/partial/full * Proposed building, distance from property line * (circle one) * Front yard 2 S / ft Rear yard /.5-7 ft No. of stories (habitable space) * Side yards 3 ft and 3 ft Height (grade to ridge) 2 2 0 ft. * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) * OCCUPANCY INFORMATION * No. of bedrooms * PRIMARY BUILDING - No. of bathrooms * V^ One family dwelling Primary heating system _ ,,,,._,, : ;f,;. * two family u e ili__y Type of fuel * Multiple dwelling / Number of units No. of fireplaces to be installed Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * j,- Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other * If addition, what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * !/e Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building `'- ESTIMATED MARKET VALUE OF * 'Oth .5/14> .co'c f' AND S t4fe- "tet=A A6. CONSTRUCTION * `��� ( /sr f/ce ) $ --- �o c,r 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. W e e .o F o�4'•'i Will any second-hand or ungraded lumber be used? If so, for what? A/0 Foundation wall material p;;,✓,Yi D Cols' C rF-n Thickness J z /' C yv 4s7 i c wig Depth of foundation below grade (to bottom of footing) y" 5-i_ Ad Will there be a cellar? Ak ,u..Heated or unheated? L46.7/.4 Floor sq. footage 26 sq ft Will there be a basement? Will any portion be used as living space? eye (If so, what port'. .? sq.ft. Type of use? Type of roof - slope. , lat/shed/other Material of roof S /,ve-A .f Size, wood studs "X y " spacing / "o.c. length 7'/, "ft. Joists(floor beams) 1st. floor "X / c " spacing ;_y "o.c. span/1 -` Oft. Joists (floor beams) 2nd. floor "X ',' spacing "o.c. span ft. T.._i �:ibeams) nv " "_.vi i31%$(l.trljilZg n spacing �.%. span ft. Roof rafters "X " spacing1.9,'"o.c. span V-1 ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finishjtxTv,gp li✓ 12,4" ,:0 Of what material? Interior wall finish ,vr,,,F 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 fy�/tie 414`./N'p- (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 BEFORE ME THIS Signatu;rg_- _ r, own r`s ag t,arcnitect,contractor da .of (r 19 f 6 Crorhri., crA'keE, 0//88 N t ry Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By _town of Qiurt, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME if LOCATION Dates Permit No. Y7 /✓ ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing _ Backfill Framing 10.61 Roofing _ Siding _ Masonry Veneer _ ,Masonry Rough Plumbing FJZP , r" ,` ill Relief Valves �_ Ext. Porches _ Finished Floors _ Interior Trim Stairs & Railings Ira Cellar Drain Tile Concrete Floors DCPlbg. Fixtures -__ Gar. Fireproofing Door Closers .IM Smoke Detectors ==_ Chimney _ INSULATION: Foundation Mil■ Walls K ■ Walls Ceiling _ FINAL ELECTRICAL IN 'ECTION DRIVEWAY APPROVAL Final Building Survey all Next scheduled inspection (call when ready) Remarks c� 0 LGI-dgeek-A.5 — ©/ l Build ng Inspe or 6/86 and-vl 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 NAME K K u lc LOCATION 1755Wn1.91tr /"4lAy t DATE jay*. S PERMIT # 8 7 - 23 APPROVED YES NO FOOTING/PIERS `��/6/$7 MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING L/a / FRAMING 6/ /8'Y v ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING )(FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF 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 OCCUPIED! REMARKS: INSPECTOR rya ifl own oQ ueensbur I � y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME , ?„. b(./( LOCATIONSft ) /7< Date 7/ 17/ g-7 Permit No. I17- `)3 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO :ice ng/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing 50 ) 4,6 Pvct-" Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile concrete Floors G�,f14e. Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation i (\\\S Floors a Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Buildi g Inspector 6/86 and-vl .own of Queensburcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 7 u 1<c)f•c, LOCATION .435 C` i'!�"/,�L`j V L'G DateJ ' '& (57 Permit No. N ✓ = APPROVED - YES / NO �"Reoting/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- '02-4- /r/g/;7.1g, Building nspector 6/86 and-vl