1986-203 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-203
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Thomas and Geraldine Schlierf
OWNER of property located at 28 Sycamore Drive Street,Road or Ave. o
Addition to dwelling (deck)
in the Town of Oueensbury,To Construct or place a
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.
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1. OWNER'S Address is 28 Sycamore Drive
Glens Falls, New York
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2. CONTRACTOR or BUI LDER'S Name m
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3. CONTRACTOR or BUILDERS Address
same
4. ARCHITECTS Name
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5. ARCHITECT'S Address so
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6. TYPE of Construction—(Please indicate by X)
Wood Frame 1 1 Masonry 1 1 Seal 1 1
7. PLANS and Specifications
141x241 per plot plan, specifications and application submitted.
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B. Proposed Use
One-Family Dwelling - deck addition
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December 1 79 86
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES rt
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Oueensbury baton the expiration date.) £
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Dated at the Town of Queensbury this 8th Day of Ma 9 86 F,
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SIGNED BY )11 g2C1 a . U co
for the Town of Queensbury c
Building and Zoning Inspector n
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• TO BE COMPLETED BY BLDG. DEPT.
• Cc'-�� Application No. 4. , ,
flown of Queenibury Permit Issued 19 TOWN OF QUIEEN ""
BUILDING and ZONING DEPARTMENT Permit Expires 195E0 b u �gl.,
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation U /I
QueenSbury, New York 12801 Variance No. MAY 61986 c p lA
Site Pla eviewwNo. 1 P.M.
Approv 'b'v/: [ I lr 1g11213)41618
AN
APPLICATION FOR ��,�'�"{•'.----'
BUILDING AND ZONING PERMIT
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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. l
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The owner of this property is: 72441.43 _( t' 6Pf/FAt7/.vd /10. l�C/f��
P.O. Address 2 j 7/L4nieR6 )4 J` TelJ7f-74J'3c?J
Property Location: ,l.9000 Tax Map No. 90/ 7/ /O C
Street number or building lot number
Subdivision name (if applicable) ?WJ if—dyers
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
7/7'..ino -T f e,qz, 6
Name P.O. Address Tel. No.
Name of builder T//•.n,s-T sciii.S#rf Address2¢.&04..../tr`'2 ohveorz/i7/ Tel. J7 7y/l'33fJ
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) * set-back dimensions from property lines. Give
bxreeitle.t eSest /4' X atac * 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 FLOW. l licsiiyi,
* Size of property , i. /7 ft X. ft.
* Existing building(s) Size '4/ft x ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) U e
Size of new structure /4 ft Xp'b((- ft r/IL L/dy
Foundation-pier/slab/crawl/partial/full * Proposed building, distance frol property line
e *
Front yard (Y/ ft Rear yard a 70 ft
He
ight
es (habitable st - *
Side yards ft and ft
Height (grade to ridgep " --- -'--"ft' *• If on corner, setback from side street 7,V ft
If residential, no. of families
No. of rooms(ex siding bat 4') * OCCUPANCY INFORM4TION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms One family dwelling
Primary heating syst i * _Two family dwelling
Type of fuel • Multiple dwelling / Number of units
No. of fireplac to be in alled * Permanent occupancy
Will a wood ove be install ?
x Transient occupancy
Central A' conditioning? ,
* Business
BUILDING STYLE, PRIMARY STRUCTURE * _Industrial
Other
Ranch Contemporary Log cabin * I£ addition, what will use be?
Raised ranch Mansion Duplex
split level Old style Bungalow *
Ca e Cfd Cottage Other * ACCESSORY.BUILDING- ,._.-
Colonial) Row Town House * Detached garage - e oar/ two car/ car
( CIRCLE ONE PLEASE ) Attachedrgafage/one / two car/ car
* * * * * * * * * * * * * * * * * • —±sirdie storage building
ESTIMATED MARKET VALUE OF Other
CONSTRUCTION *
$ /.f00. 00
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF T!IIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
OUfLDING SPECIFICATIONS:
Type of construction, fire safe,etc.
Will any second-hand or a . ..ed,lumber be used? If so, for what?
Foundation wall material („es.cxze Thickness I$W 647
Depth of foundation below grade (to bottom of footing) Jr'
Will *hve++ Jam-;—clear: Heated or unheated? Floor sq. footage sq ft
Will there be a basement? Will any portion be used as living space?
(If ___ m..._____sq.£t. - - Type of use?
TYpe_4f_xsnnf.._-_sl a/fl=+i..hedfother Material of roof
Sizes-wood--studs------i.'�L.....__.�spacing "o.c. length ft.
71 Joists(floor beams) 1st. floor an/"4 ft f�� ss/
off- "X G " spacing /b "o.c. span /yL ft/(� ' 6- /
Josts(^vr^^ J "X spacing "o.c. span ft.
Ovwrlays(ceilinq beams) "X " spacing "o.c. span ft.
Roof-eat—"X " spacing o.c. span ft.
-engineered) spacing "o.c. span ft.
E _terior vay}--fiaigiC 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 gar ge and dwelling? If so wj1-i a Fire-rated
door, enclosure, and self-closing vice be provided?
Will a flue-lined chimney be i alled? Height above yoof ft.
Depth of chimney foundation Blow grade ft.
Depth of fireplace hear ft. in.
Water supply - Munic' 1 or private well
SEPTIC SYSTEM _ D' ante from ANY private well(including adjoining properties ft.
(A separate a ication is necessary for any repair or new installation of septic system)
To of Qu nsbury
County of Warren AFFIDAVIT 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 trn described premises and that aLl
provisions of the BUILD G CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the propdised work shal be complied with, whether specified or not, and that such work is
authorize+ by the own; .
SWORN TO B ORE ME HIS Signature-_1�rnS2 1Owner, owner' /dge44_
nlc t,contractor
day o 19
A
Notary Publi. , W. ren County, N.Y.
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SPECIAL CONDITIONS 'hF THE PERMIT:
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