88-733 BUILDING PERMIT H
TOWN OF QUEENSBURY No. 88_733
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Herman & Jane Shires i
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OWNER of property located at RD#1 Lake George Street,Road or Ave. rn
in the Town of Queensbury,To Construct or place a Addition to garage/Lean—to
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
Same
2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name rn
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
1 1 Wood Frame ( ) Masonry ( 1 Steel ( ) ta'
7. PLANS and Specifications
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No.16'x8' Lean-to,as per plot plan and application.
8. Proposed Use
Boat Storage
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 1989
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.) o
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Dated at the Town of Queensburythis 13th Day of October 19 88 0
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SIGNED BY ` ��ll /j for the Town of Queensbury
Building and Zom Inspector
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INTERIM BUILDING PrR„MIT
PERMIT APPLICANT
CONSTRUCTION LOCATION
EFFECTIVE DATE too
APPROVED BY i{Ilthrit-,V.,
SPECIAL CONDITIONS :
This will certify that all submittals
Permit have been received and fee for a Building
During has been paid .
the processing of the Permit,
may begin construction the above named
per plans submitted , It is the
responsibility
from the f the applicant to obtain the Permit
Building Department, fol e ' ng processing .
POST THIS INTERIM PE
PERMIT IN A CO SPI , UOUS L0*4T 411 ! !
Building & C. . es Department
TOWN OF QUEENSBURY
REQUIRED INSPECTIONS:
24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete.
2. Foundations Inspections and Waterproofing, before Backfill.
3. Rough Plumbing, Heating and Frame Inspections before Closing in the Fr
4. Insulation - Foundation, Floors, Walls, am
5. Inspection of Electrical Ceiling. Cop
Installations before covering
of job. Final inspection certificate is necessaryfor issuance of CERTIFICATE OF
(rough in) and on completion
OCCUPANCY.
6. All new septic systems or repairs before covering any work.
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL
OF THE BUILDING DEPARTMENT.
,( ,_;� V
BUILDING U11//! U/ QItC'C'/1 3U11P� p � -, ,
and ZONING DEPARTMENT ii - L• , `1
Bay and Haviland Road, R.D. 1 Box 98 Lei
Oueensbury, New York 12801 SEF 2 1988
-7 _ - �L BUlLi7yNG & Cook °Ewr.
Appro d •9
4,
APPLICATION FOR
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BUILDING AND ZONING PERMIT Ili-
* * * * * * * * * * * * * * * * * * * * * * * * * i- * *. * * * . * * * * * *::
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-;4 .',, , 7,047 Thei`_•15'
P.O. Address /'.,D?IF / I.,„0 A c . y.r'.•>, :f'Y`; 1/ >2 ''':/ '1'el. / /-
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Property Location: ,�,1-;� ` '.:--� r;{ k� _- ;:•�,r I Tax Map No. / J 4:/ e.
Street number or building lot number
Subdivision name (if applicable)
TilE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder Address ��d r„_ JIs , /th.< Tel. G3 G ,.§":
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED In)RK: * ZONING INFORMATION:
Construction of a new building * TWO PLOT PLANS 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 ft X r ,c, ;5" ft.
* Existing building(s) Size ft X - ft.
*
PROPOSED BUILDING AND USE: * Existing building (s) Use .,1,,.?
Size of new structure lb ft X ' ft *
Foundation-pier/slab/crawl/partial/full * Proposed buildir , distance from property line
(circle one) * Front yard ft Rear yard /2.6 ft
No. o" stories (habitable space) Side yards ft and 62 ft
Height de to ridge) ft. * If on corner, setback from side street ft
If residents no. of famil' s *
No. of rooms(ex ding b- s) * OCCUPANCY INFORMATION
No. of bedrooms • * PLY BUILDING -
No. of bathrooms * ne family dwelling
Primary heating item
Type of fuel * Two family dwelling
No. of fir laces to be insta ed * Multiple dwelling ./ Number of units
Will a od stove be installed? * anent occupancy
Transient occupancy
*
Centr- Air conditioning? Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Log cabin * Otherr/ E
Raised ranch Mansion Duplex * If addition, what will use be? l�v. S ,=e c
Split level Old style Bungalow * '
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/_ car
' * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF . * !Other /z-,�,�J �'c Ir7/'c:''r. ,d eAi“
CONSTRUCTION $-.-I * /,,-- ,5f' -•;i6- ,
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PEIQ1IT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. j/ ' ?- / —K,-'4.f
Will any second-hand or ungraded lumber be used? If so, for what? p7-3
Foundation wall material Ale A4 ,;. Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? 4 Heated or unheated? Ale Floor sq, footage sq ft
Will there be a basement? * Will any portion be used as living space? r /
(If so, what portion? sq.ft. - - Type of use?
Type of roof - 4.14W/flat/shed/other Material..of roof 5A 5,4r7 r; -„,;( - 430/Le,9 ro
Size, wood studs 2.. "X t! " 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 7 "X " spacing 21 o.c. span /6 ft.
Roof trusses(pre-engineered) spacing "o.c. span ' ft.
Exterior wall finish / -/ V Of what material?
Interior wall finish
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.
C' ;
SWORN TO BEFORE ME THIS Signatur J
Owner, owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* « * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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