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98-005 BUILDING PERMIT VALUE $ 10000 N OF 'QUEENSBURY No_ TAX HAP NO . 406 - 1 - 13 WARREN COUNTY, NEW YORK PERMISSION is hereby granted t(o�y OWNER of property located at "'l BXRQS L AD Street, Road or Ave. in the Town of Queensbury, To Construct or place a 7Lt �1fTiliTTnta TQ ApQr 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 BEVERLY 32 SHEET RD , - - QUEEUSBURTa NY 12884 2. CONTRACTOR or SUILDER'S Name DOETSCHe BRUCE 3. CONTRACTOR or BUILDER'S Address -, I: SHOXET BEAR L"N # ...-. 12845 4. ARCHITECT'S Name S. ARCHITECT'S Address B. TYPE of Construction — (Please indicate by X) RliSIDE1fTIAL ALTERATIONS ( } Wood Frame I I Masonry f 1 Steal ( 1 7. PLANS and Specifications ALTERATION TO Roof AS PER PLOT PLAN SPECI!'xcATIONSA 8. Proposed Use �eRA�21pN� :4> Roar, . : ?. . ., .. u _ ._ January $ N g PERMIT FEE PAID — THIS PERMIT EXPIRES fit a Sanger period is required on application for on extension must be made to tha Sufiding and Zoning inspector of the town of Queenstiom before the exPiration data.1 January Dated at the Town of QueensWry this Day of 19 SIGNED BY for the Town of Queenslwry Building sod Zo rep I OW*CtCw La� urlu!r.'119 Perr ill Applicattroll I (Jl tx1! f)fQ11eensbut y - nely. rofGnllrlllri,i[y 1}r srlrrinrlrra, 711 flrry llrnrld, Qrrtrr+.lLruy. N}' 114904 llh! -r'[lSrl Il U I L n 1 N c x�C G C3 J) 13 No TICS r N !" s !t C Is Rf Is' N 7' --- -- -- - -- - - Itccluirc„tc,lls Ilrior la i5su.,ncc A rrcratii urx+st ba ui*Ininccl tucfc>rc of this I?crntil : f'fs"lxhll'I' ! ll,fi N(l, ram' Ix-ginaxirrl; cxrltsttttclicnt. Neu ertetret:licm4 r� will t*c nlacre unlit nrilrlicnnt line receivc(l l� ZnJrlrrg (jrr[#irj 11Gd1'ur! J'Js1fAi17' ! ? li 1'.tll� 7t } � C-) n VAt_lC) nt11Ll7th£3 t'I3ILMrl'. All r- - rrlxlllienttly' Spices till this nliplicaliutl Arcn J lJsc JfIC'Jt1zAT1[)N f•1:fi f' ` f) .x MUST b s ccrnrirletet! nntl� the signnitrre ,of the nlrlvlicanl rtrusl nreltettr oil lbe ED I latI lr,g &N701d Actlol, 1[J:VIE IVISO 11t : nJ+lrlicnlion (Orin, rr.. t SI'rt I ,%liklivisiern I Uther - Jr„nrrrrrK frll�Ylirrl' ,..r. - ,tecrenlirnl Fee. I'nyrrtcul -- ._.—_.. .____..--- ----.----••--- _ A can 1: Q C)wuer: _. Pill ' Adclress: _ � �►`� n �� ,� „1 ,,�.�� �tilclrr;�ss: l'itolle # y � I're perly Imcalf(lllt - 'lttlllllviriirlr# N11mvi TOM Mill) IVrlla11mr lleul lull Ills k,Ii NATURE or PRopoSEll WORK , v New 1) uIldlncls ESTIMATED MARKET VALUE or TIIE res icicrtce / CONSTRUCTIONNcrt7nuttorc .ial �, .------� Addition to Ltulldillg : re9 icierlce / commercial ()CcuPAHcY INFOttt�rA7�fb� eC ! '#I ED nitera lr to Uttildings Primary tttti. tclirty — reQirlertco comlucrGial. .3 ngl. e C'artlily t1v i-QQ IZesicience ommercial Two Family Dwel1111c3 lso change . to exterior ei7 © f 1^ami ly tyWllil*0jeF-N8WRY Other work ( describe Laiaw Office 11�M11dGANdCQ MorcartUilo [ ]� x� NtarrufacLuring CL dl ' GROSS AREA or PROPOSED STRUCTURE , - other _ _ n lrtt. Floor . . . . . . r3q , ft . if ADD Itrio" what. will tree 2rltl .Flour . . . . . . . . aq . ft . of ,tewe aciciition Other Floors..... nq . f i, ( not unlitta. slied cellar or basement ) —� -- ACCESSORY BUILDINGS : Detached Garage 1 2 cal- TOTAL FLOOR AREA : ; SQ1 FTo Attached Garage 1 , 1 car SIZE OF NEW STRUCTURE * Private Storage Isn l l-d i nq Commercial Storage Buildl.ncl �{ FEET X 3 -Z FEET Other Foundation Type * lif c`1 !26 � will any eecontl- hand or usigraded Nulni>er, ok g �vr lee ; 1 - Itun per be uaed7 If so , for What ? ( Ilabita ale space olily) AJO Height ( grade to ridge): feet; !r*i?6 OF IIEAT1140 SYSTRHt Nmuber of fireplaces and/or wao stovo ( circle ' all which appli n ) to be i- ltstalletl : A,)oh)cf Electric / oil / can / &ood Forced lioL Air / Da (mboaud / Clthrt� r Person reepo,isible for 0upervi01on of work an regarda to iiuiiding codes is : `v Namle Ada cord Eluilder : Pltolt[3 Plumber : Elect: ric3. an DE' CLARA77(7N.• Please sign below gfte� ywr have carefrelly rend the stater,lent. TO the best of lily knowledge the slatemeltts corrtInned ill this al)ltlication, togelllcr with the lrl:tns :t 'd specifications submitied, are a true and complete statement of all Itrollosecl work it) be (lone oil the rlescrilred premises antf that all provisious of the Building Cock, the Zrtlnitlg Ordinance anti all other laws I}ertaitlirtg to the prolxosecl work shall be complied with, whether specilied or rtutcct, alul Ibat such work is awhorir.ccl by tic owner. Furlher, it is urtclerstcxxl That l/we shall submit prior ttl a Certificate of 0Lculrancy"or Cerlilicate of Compliance beirsg issued, an AS ButL:r PLOT' PLAN by a licensed surveyor; drawn to scale, showing actual location of Imiject ors premises. Signature: /7r t jep I l � (owner, owrtcr s agent, architcci, colttractor) TOWN OF Q UEENSB UR Y 0 BUILDING PERMIT NUMBER < # fA V AV I . BASIC/BUILDI "vG PERMIT INFORMATION: � A Iicant/Name & Address I Agent/Name & Address H - MCA TAX MAP NUMBER: .9� 2 c-- 0 2. PROJECT DESCRI TION: _ _-{ N _ `sue_ t plan (? copies) -------- -------- ................. wilding plan (2 ) ----------------------------------------- ---- sewage disposal energy code 3 . PROPERTY INFORMATION. electrical inspection LDdriveway permit [Dcompleted/signed ETFEE PAID Front Yard Front { if corner} Side Yard (1 ) ffALTBRATION SW COI�ISTRucrioN Side Yard (2) DDITION Rear Yard Width 01:)IPICATIcIN De th CTN es NO NIA PROPERTY IS IN APPROVED SUBDIVISION NMB= MOP Meets depth, width & square footage requirement Preexisting, nonconforming Iot with proper setbacks Required road frontage on public road Has required off-street parking Permeable area is adequate / e uired: Building does not exceed maximum height / Max. -- F Required setbacks from stream, lake and/or travel corridor meets requirement Buffer zones required Is lot in a Flood Plain Zone? — — — -- — --- 4. STAFF DETERMINATION: As per Section (s) of the Zoning E Sign � Subdivision Ordinance Ordinance Regulations I4 5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS : ACTION FILE NIJM9PR RESOLUTION OATS © Use Variance 0 Area Variance Sign Variance [� Other C om m ents: 64 REVIEW REQUIRED BY PLANNING BOARD: ACTION FILE NUMBER RESOLUTION DATE 0 Site Plan Review Subdivision Q Planned Unit Dev, Other Com m ents. r Blairr STAFF GENERAL INSPECTION REPORT Town of Queensbury " Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12$44 Arrive * ')am/pm Depart InInspector's Initi NAME: k1 a G� r' PERMIT # LOCATION: "rw � DATE : TYPE OF STRUC RECHECK. NIA YES NO COMMENTS Footings/Ners, I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing; protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundati on/Dampproofi ng Backftll Approval Plumbing Under Slab Plumbing Vent/V:nts in Pl Rough Plumbing_ Heating Rough-Ir Insulation Foundation Walls interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Pro r Vent, Attic Vent tning Jack Studs/Headers 6 . Bracing/Bridging 9 op Joist Hangers [' Jack Posts/Ma in Beam * Air Infiltration Barrier Fire Separation 1 , 2. 3, hour Penetration Sealed, Fire Wall 2, 3, 4 hour Firestopping � �"Iw ON �r, a Marne L q `!l no i no `101 Q NMj PN 'qftw" ww Imw ago R.gmw "7jM O J;Vldvo Oorw #70 14 cl Al dv Jena $"�. -- r "E fit° Wt4jarc io 133AI3038 in -_. ) AM ] ill DATE ` + JOB 'O�!I+...J Cf/� �- L � ,/� .. . "06P rjOrr,. 4NTr4S 60l'fC0 ►231= nr � prTr = S/ r2 ,r� E roc rv� -� 3( + F i- 1C> rasF .. Tberzwl .. - 44 r-sF e& - L U=o Is to !Z to G =o Lied g&Pise .' 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