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1986-400 BUILDING PERMIT TOWN - OF QUEENSBURY No. 86-400 WARREN COUNTY, NEW PORK of,2 l C L. avery PERMISSION is hereby granted to Lawrence 0 OWNER of property located at q15 West Mountain Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Storage Building 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 RD #2 Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Don Whalen cn rt z 3. CONTRACTOR or BUILDER'S Address rt w 0 0 4. ARCHITECT'S Name 0 5. ARCHITECT'S Address rt 0 n w 6. TYPE of Construction—(Please indicate by X) GP co td ( *Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications No. l6'x24' per plot plan, specifications and application submitted. °Q 8. Proposed Use Storage Building $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 87 (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 lllth Day of July 19 86 SIGNED BY C2 N ., for the Town of Queensbury Building and Zoning Inspe or TO BE COMPLETED BY BLDG. DEPT. 0%ice] 1 v rit'_`Jown O/ Queenitur[ Application No. Permit' Issued. 19 TOWN OF QUEEN5E3URY BUILDING and ZONING DEPARTMENT Permit Expires 19 • Bay arid Haviland Road, R.D. 1 Box Zoning Designation H• EGEnH D Queensbury, New York 12801 Variance No. 8 r Site Plan Review No. JUL � 1986 ,�y $`7 Z" Approve y: A.M. /6�rG-bieN ' APPLICATION FOR 718,9110)11)12)11213)41516 6afl . s5 BUILDING AND ZONING PERMIT N© ejo r * * * * * * * * * * .* * .* * *. * * * * * • * * * * * * * * * * * * * * * * *:.* 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: /_4 vJ? ,cr � (?4t/ nL ,-/ C f-v e - /)/ P.O. Address 11 l�l, % !iv l n ox-E/V /�h'esL 5- //i/ /1 g---/.1 i Tel.'9, -/ « 7 Property Location: Tax Map No. 8 5 / / //a Street number or 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 RDA io4sAf 6, f Address Tel. Name of plumber Address Tel. Name of mason i,/ -1rfA 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 * street and number or dot number and indicate * whether interior or corner lot. Show location FOR DEMOLITION PERMIT, STATE SIZ AND LOCATION OF STFiUC�URL"SA�'FEC of water supply and location and configuration * of septic disposal area. ' * /-- * COMPLETE INFORMATION REQUIRED BELOW. - / f * Size of property '' '3� ft X `i'"SC) ft. * Existing building(s) Size ft X ft. PROPOSED BUILDING AND USE: * • r k-6 t'e`i Ai( ` & 0 X I'F .'- 711o,k * Existing building(s) 'Use Size of new structure t(p ft X2-/ft * • • e ru--A- r.•-_ . . 3 so )C, 'Z O r?/2-0 k. Foundation ill:D'sla• crawl/partial/full * Proposed building, distance from property line circle one) * t No. of stories (habitable space) * Front yard • 2 0 $- ft Rear yard ( 0 ft Height (grade to ridge) ft. * Side yards /Oo - ft and 200 -- ft If residential, no. of fami],ies * If on corner, setba r© t ft No. of rooms(excluding hs) ' ,i' * OCCUPANCY . INFORMATION No. of bedrooms No. of bathrooms * PRIMfARY BUILDING - * One family dwelling Primary heati system * ---Two family dwelling . Type of fu No. of replaces o be installed * Multiple dwelling / Number of units Wil a wood s e be installed? r✓Permanent occupancy C itral Ai conditioning? * Transient occupancy Business. BUILDING STYLE, PRIMARY STRUCTURE *'----Industrial Other . . . . . . . * Ranch Contemporary Log cabin * If addition, what will use be? Raised ranch Mansion Duplex Split level Old style . Bungalow * �'�leil 6& - • Cape Cod Cottage A/ „ * ACCSSORY BUILDING- Colonial Row Town House * • //Detached garage/one car/ wo ca. / car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * • * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $� 0000 •INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPI 4/AE, m.i-vL • Y BUILDING PERMIT APPLICATION CONTINUED - 4 BUILDING SPECIFICATIONS: ' Type of construction, wood frame, .fire safe,etc. . UtA9C9,7 A.6t PL Will, any second-hand or ungraded lumber be used? If so, for what? 'Li'"9 Foundation wall material eLO CK Thickness ( �1 . Depth of foundation below ii p grade (to bottom of focting� 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 - s ope /flat/shed/other Material..of roof Size, wood stu s "X 4f " spacing 1 4"o.c. length 7 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 2. "X ( " spacing ?4- "o.c. span ft. . Roof trusses(pre-engineered) spacing _ r- ft. , Exterior wall finish .Si DWG? Of what material?' t /o v42 Interior wall finish CirOd. i. 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-rate door, enclosure, and self-clos-i:nig- ddevice be provided? -'-' Will a flue-lined chimney.—be Installed? Height above roof /fit. Depth of chimney fond tion below grade _,-fC Depth of fireplac hearth ft. i› Water supply—Municipal or privati�: well SEPTIC STEM _ Distance from ANY"-private well(including adjoining properties ft. (Acrparate application is,,,�nec sse ary for any repair or new installation of septic system) Town of Que.ensbury '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 submittedu area tue. and comple e, statement of all proposed work to be done on the described premises and that all provisi ns of the BUIL G CODE, THE ZONING ORDINANCE, and all other laws pertaining to the pro sed work sh 1 be complied with, whether specified or not, and that such work is authoriz d by the ner. ,Z' SWORN TO B ORE ME THIS SignatureJt r .-e-.Yc�V_� /7/ 76 Owner, owner's ag ri arcnitect,contra or . day f 19 Notar. Public)` Warren County, N.Y. . . * ," * * * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: ' • By - ...awn o/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION G , )r_ `'2. Date 0/(4 / �7 Permit No. e% "7CV * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill / Framing Roofing Siding Masonry Vene-r Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECT. CAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready). Remarks- / Building n pector 6/86 and-vl Jown o f Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT • NAME CA t`41---re_L./ LOCATION W6 s Date 7/2 q c Permit No. VO * * * * * *. * * * * * * * * * * * * * * * * * ✓ = APPROVED - (Footinc /Pier Forms fl�� Foundation Waterproofing Backfill Framing Roofing / Siding Masonry Veneer ) Rough Plumbing �\I i Relief Valves \'', Ext. Porches % Finished Floors ,/ r Interior Trim Stairs & Railings ‘,/ Cellar Drain Tile Concrete Floors A, A Plbg. Fixtures - Gar. Fireproofing J Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - sm-royo_6,/,_ eoiif £Lt1 Buildi g Inspecto 6/86 and-vl „,A-4-• ; 13 z.4<Li.( •1.,--”::, ,_.... .4 : •Ai Et 1 ki/4'2 Ac'1---1:a.. ....._, - „__ . 1 , \ 11 i .:. t i •! CHAPTER 9 - I , .. ,...., .. 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