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88-452 BUILDING PERMIT 9 TOWN OF QUEENSBURY No. 88-452 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael J. Stevens (n OWNER of property located at Pilot Knob Rd. Street, Road or Ave. ti in the Town of Queensbury,To Construct or place a Dock Replacements 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 k' P.O. Box 2202 Glens Falls, N.Y. 12801 ti ti 2. CONTRACTOR or BUILDER'S Name rt Shawn Callahan C 3. CONTRACTOR or BUILDER'S Address Ridge Rd. ,ro Glens Falls, N.Y. 12801 4. ARCHITECT'S Name 0 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) n ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications sL No. replacement of existing docks as per plot plan, drawings and application. rr 8. Proposed Use Dock Replacements $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 89 (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 30th Day of June 19 88 SIGNED BY � /y for the Town of Queensbury Building and Zoning nspector 727? INTERIM BUILDING PERMIT • FiLE COPY PERMIT APPLICANT S ye-4/.7 • CONSTRUCTION LOCATION Pie -/r,v ,e ' EFFECTIVE DATE (0 ZT/Pfi1 • APPROVED BY NicLe/c. • SPECIAL CONDITIONS : CA/S,EvC nOe/ ��G �-= ilc"�/� m/ . 7 MJc . This will certify that all submittals for a Building Permit• have been received and fee has been paid . During the processing of the Permit, the above named may begin construction' per plans submitted . It" 'is the responsibility of the . applicant to. obtain the Permit _ • from the Building Department, following processing . POST T1-lIS INTERIM PERMIT IN A CONSPICUOUS LOCATION, !- ! Building & Codes Department TOWN. Or OUEENSIIURY .TO' BE COMPLETED B`[ BLDG. •DEPT. . Application No. awnU/ QII ee ii i /�urc • 'Permit Issued 19 J L •L'fl D iI i +� �' -•- . BUILDING and ZONING DEPARTMENT . Permit Expires . 19 : Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation. LR--/ • �- . Queensbury\, New York 12801 ' Variance No. \ .J�/ • Site Plan Review No. BUILDING D�•, 0 .Apoved by:APPLATION FOR ,7E p 7•r FUILDING AND ZONING - PERMIT • A f 4 S * * * * * * * * * * * * * * * * * * * * * it * * * * * * * * * * * * * • it it 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; /t4i' e--L 5— S p r�Ct?'/v.5 • P.O. Address 96_ e(,�� iC 1� _ -O 'a_, CL�0,5. /^�,!'1_L-S /`�/ G, -�p 56 Tel. e0 •Property Location: U U I I�v 'c. '5 ROOK) l\ a liS f r LL (3 (9 Tax Map No. / / - Street numberor building lot number >� Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. -Address • Tel. No. • Name of builder rj hy9-w12.-C41i4-hrgYJ Address 197 • 'Tel. 5 ? ry Name of plumber i • Address Tel. ( r 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) * set-back dimensions from property lines. Give . U\.e�JAtl2 o r E- , ipti opdfh * street and number or lot number and indicate FOR DEMOLITION PERMIT, S1'A'1'1/:.SILL' 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 ft. * Existing building(s) Size ft X ft. , * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure ' ft X ft * .Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle ne) • * Front yard ft Rear yard ft No. of stories (habitab]M space) . Height (grade to ridge) ft. * Side yards ft and ft if residential, no. of flies * If on corner, setback from side street ft No. of rooms(e • 1u in- ' ts) . • * OCCUPANCY INFORMATION No. of bedrooms - * No, of bathroom * PRIMARY BUILDING - Primary heating tern . * One family dwelling . * Two family dwelling Type of fuel ;No. of fireplace 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 *.: 1 serial /f �) ' * Uther pr ./`� 00/1' Ranch Contemporary. Log cabin 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 gale/one c /-two car/ car ( CIRCLE ONE PLEASE ) * Attached ga /o • 'car/ two car/ car * * * * * * * * * * * * * * * * * * _':Private storac uilding • ESTIMATED MARKET VALUE OF * Other yl CONSTRUCTION * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS ,SHEET, TO BE COMPLETEDI . Form BPA 4/B6 and-vl - • • • yy BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. q 1 lk) C�) 0) Will. aq• second-hand or ungraded lumber be used? If so, for what? E3 Foundation wall material VJ © r2_O Thickness Depth of foundation below grade (to bottom of footing) 'v -`'rp 6, 1- Will theta be a cellar? ated or unheated? Floor sq. footage .` sq ft Will there be a basement? any portion be used as living space? 0 . (If so, what portion? / .ft. - - Type of use? , t Type of roof - sloped/flat/shed/other r_O-t}- Material.'of roof N a•''� Size, wood studs �' "X spacing "o.c. length /'(o ft. ,�d Joists(floor beams) 1st. floor "X " pacing "o-.-c-:-span... • ft. �� `. Joists (floor beams) 2nd. floor: • "X " sioapi-ng "-o:c=s-pan rt. i ei WeiOverlays(ceiling beams) (,. "X " spacing y "o.c. span C ft. f,/i l Roof rafters "X " Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish AI VPT-0 (Z V3 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? 1\lC7 If so will a Fire-raced door, enclosure, and self-closing device be. provided? Will a flue-lined chimney be installed? N' C9 Height above roof. • Depth of chimney foundation below grade —'ft. Depth ofi'f.replace hearth f* in. Water supply - Municipal or private, well r • 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 :l D A V I T STATE OF NEW YORK County or 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 Signature __ _- Owner, owner's agent,arcnitect,contractor • day of 19 • Notary Public, Warren County, N.Y. • * * * * * * * * * * * * * * * A * * -A *. * * * * * * * * * * * .* * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • • • • • • • • • • • • By • • • • ti . TOWN OF QUIENSBURY BUILDING AND . ODES DEPARTMENT BAY & HAVILA `► ROADS QUEENSBURY, ? YORK 1280k TELEPHONE (58) 792-5832 BUILDING INSPECTOR'S 'y 'ORT REQUEST FOR I '..PECTION RECEIVED NAME 1(', LOCATION _LAi ICd DATE 1 11 191,• O p PERMIT ; "4 • APPROVED P pA O ' • 2 YES NO FOOTING/PIERS MONOLITHIC POUR iiORMS FOUNDATION/DAMP-'•OOFING BACKFILL APPROVAL; ' ROUGH PLUMBING " FRAMING ELECTRICAL ROUGH- N INSULATION: FOUNDATION • FLOORS . WALLS ' CEILING VV " FINAL INSPECTION: CHIMNEY HEIGHT _ ROOFING V SIDING V ' EXTERNAL PORCHES/:• ;EPS ' " STAIRS-CLEARANCE & r'ILS PLUMBING FIXTURE::/R':LIEF VALVE - INTERIOR TRIM/P 4 VA''. DOORS ' FINISHED FLOORS GARAGE FIREPR•t)/ ING DOOR CLOSER(S) SMOKE DETECTOI FINAL ELECTRICA;' INSPEC !ON' VV ' .FINAL APPROVAL OF CONSTRr TIONV OK TO ISSUE C 4 OR C/C A SIGNED CER ti FICATE OF 04, UPANCY MUST BE OBTAINED FRO6 THE BUILDIN DEPARTMENT BEFORE - THESE PREMI',i S ARE OCCUPIE 4'!• REMARKS: ens / �1�� S° - L p d ; ARRIVE //,' 3o DEPART / 55 TNRPRrTnR . 1 . . Cr _ • i ' , . ' :'--------- ----. --'- . , /11/ I : %) .-- I • . • . ' c- . 0 , . , • , , . .9 ) . - n . ! , ). • - . . . I - f . . _ T !et) s , . . . . t - * 1 1 _ . ' . . . - ' 1 - VI (1-(,) . . .. . _ . .. - - ) . rY\ n g 2 E. ry, t 0 15 jaw e‘i cy\ 111111111111......mmal '10 o