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88-057 BUILDING PERMIT ota) I DC TOWN OF QUEENSBURY No. 88_57 • b WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Elsa Kraft OWNER of property located at Cleverdale Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a Dock 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 Star Route Glens Falls, N.Y. tT1 I� 2. CONTRACTOR or BUILDER'S Name {v Ray Kraft rt, rr 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name I— fD tD 5. ARCHITECT'S Address Ca, se I✓ CD 6. TYPE of Construction—(Please indicate by X) • ( I Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications No. 40' x 4' 52' x 3' as per plot plan, and application. 8. Proposed Use o Dock $ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Oct. 1, 1988 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 4th /Day of March 1g 88 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. ( . Application No. own of Queensburty Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 , TOWN OF QUEENS:',._. • r Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation � D � M � '1 �14n _4U'� � Queensbury, New York 12801 Variance No. LA+ ` Site Plan Review No.• MAR '. c� 1Qp(� f(�. \� 1 Approved by: /� �+ JQv k'" APPLICATION FOR "/ 1 BUILDING & CODE DEPT. BUILDING AND ZONING PERMIT ' I * * * * * * * * * * * * * * * * * * * * * * * * * * * it' * * * * * * * * * *:>* 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: /.s'4 / R A k~° , / s P.O. Address t,,)1-; _ ' .K^ =`, ', k_= G 7/( '4 Jf f Tel. (�5(0 7 cs 0 / r Property Location: L le t1 p- rZ CL 4 lc To A 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: At/ 'A i R 't G/ens ueilk 1 . .. me 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: _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) DOCK * set-back dimensions from property lines. Give j7 7'r 71-Y.'4E * 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. r . *' 671 Sal Y .3 * .3/6, To ,1_ air * COMPLETE INFORMATION REQUIRED BELOW. * Size of property WO , 4, ., t X ft. * Existing building(s) Size ft X ft. • *. PROPOSED BUILDING AND USE: * Existing building(s) Use • Lize of new structure 0 ft X Pft ' * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * No. of stories (habitable /space) ront yard ft Rear yard ft 'de yards ft and ft Height (gr de to ridge) ft. If residen ial, no. of families * If on corner, setback from side street ft No. of room (excluding. baths) * OCCUPANCY INFORMATION No. of bedro s ' * rf * PRIMARY BUILDING - No. of bathroo s X * . One family dwelling Primary heating stem * Two family dwelling Type of fuel No. of fireplaces t e installed * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY S "CTURE „' Industrial ,� Other Ranch Contem racy Log cabin .If addition, what will use be? Raised ranch an on Duplex * Split level style Bungalow * Cape Cod Cott e Other * ACCESSORY BUILDING- • Colonia Row Town House * Detached garage/one car/ .two car/ car ( CIRCLE ONE PL SE ) * 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 RPA 4/86 and-vl . BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber _be used? If so, for what? Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? 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 "X " 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 " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish 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 A F F I D A V I` T County of Warren STATE OF NEW YORK 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 Signature - _ - 4 ,(7/1 - Owne owner's agent,arcnit t,c tractor day of 19 • Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * .* * * * * * * * * •* * * * * * * * * * * * * * * * * * * SPECIAL 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 E)2,40 01 LOCATION 1ilail 7J€ . DATE _"/1 5 11'Q PERMIT # if i c 7 APPROVED AOD CJ 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/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! 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