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1986-423 BUILDING PERMIT TOWN OF QUEENSBURY No 86-423 WARREN COUNTY, NEW YORK 00<it\h Y9 John Keating PERMISSION is here gran to OWNER of property located at Seeley Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Car Detached Garage 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. 0 rt 1. OWNER'S Address is Star Route Glens Falls, New York 2. CONTRACTOR or BUI LDER'S Name Donald L. Freeman 3. CONTRACTOR or BUILDER'S Address 4 Greenway Circle cn Glens Falls, New York m 4. ARCHITECT'S Name 0 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( 1 Masonry ( )Steel ( 7. PLANS and Specifications No. 16'x24' per plot plan, specifications and application submitted. ro 8. Proposed Use n w One—Car Detached Garage co rt Iv $ 5.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1 19 87 a (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.) '-I w a4 Dated at the Town of Queensbury this 24th Day of July ig 86 SIGNED BY d-d cc' 10 for the Town of Queensbury Building and Zoning Inspector (271 TO BE COMPLETED BY BLDG. DEPT. • c� / • Application No. Jouin of Queenur1, Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 LWNOFQUESURY Bay.and Haviland Road, RD. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No. Site Plan Review No. 41986 // ) r b O C� - 6 - S S nald7/; ) 7 9y1�1 12 P.r�. APPLICATION FOR • :_ i I a 1 e .)x'213141eSI() BUILDING AND ZONING PERMIT 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: ' -14AA z`A9 £•ice,,,,, P.O. Address/P._r:��".�.Cx,�? t tc�� c� `P 7� Tel. cce "?07.2 / Property Location: /0" �fsx' `'- Tax Map No.-des--/ / 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 builderDC�,�A/� �.��! �'j97Qa Addressy c'i�EFt/G.� cr G , l�. 4 Tel. 7.73-w e! 2 Name of plumber Address Tel. Name of mason Do,./tGD' f' eickytA-H Address 5 rz Tel. S.4-m�� 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 andlindicate all Other work (describe) • * set-back dimensions from property lines. Give * 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. * • * COMPLETE INFORMATION REQUIRED BELOW. * Size of property ft X /O t ft. * Existing building(s) Size ft X 3 2% ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure j & ft X c/ft Foundation-piers crawl/parties * Proposed building, distance from property line . (circle one) *• Front yard 3 O ft Rear yard Lf ft No. of stories (habitable space) j Height (grade to ridge) 12 ft. * Side yards cJ. ft and ft If residential, no. of families * If on corner, setback from side street ft • No. of rooms(excluding baths) " * OCCUPANCY INFORMATION No. of bedrooms *• PRIMARY BUILDING - No. of bathrooms " Primary heating system *. . One family dwelling Type of fuel * '---Two family dwelling • No, of fireplaces 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 Industrial Ranch Contemporary Log cabin * / Other. ' Raised ranch Mansion Duplex * If addition, *hat will use be. Split level Old style Bun alow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage one car two car/ car ( CIRCLE ONE PLEASE ) *. . Attached garage 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 BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction; wood fry fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? /,/0 Foundation wall material rjne-li? :•„ Thickness ,7''' Depth of foundation below grade (to bottom of footing) � . • Will there be a cellar? ,t/t) Heated or nhe to e' e ? Floor sq. footage c-i" sq ft Will there be abasement? Alo Will any portion be used as living space? ,✓r (If so, what portion? sq.ft. - - Type of use? Type of roof - oped flat/shed/other Material.-of roof 12.5g- �. `pg, ., ,,, Size, wood studsl "X ' " spacing / 6 "o.c. length ci 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 z/ " spacing 1 o,c. span / 6 ft'. Roof trusses(pre-engineered) spacing at,/ "o.c. span /6 ft. Exterior wall finishil1 Of' what material? 7-//f pg.4.7 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 AFFIDAVIT STATE OF NEW YORK County of Warren .1 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 ,tr e 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 0 cJ 2 r � v� �. • Owner, owner's agent,architect,contractor /,, ,.L, day of /`y 19 tr V J Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * ,* * * * * * * * * * * * * * * * * * * •* * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • By /i// 7/a //C /6 _Jotun of Queenihurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME TO Keq h/h LOCATION 3„/, ,4 Date A /l6 Permit No.0 6 4d3 J /Fo ing PiOr e orC-as APPROVED - YES / NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers 0 Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - T /1 11 // Building' Inspector 6/86 and-vl g\5 'S12. 0,/,-?,ctk.... _ VA--5 Jown of Queenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDINGr INSPECTOR ' S REPORT NAME `�\ /�e ! rti- v\_t_a& LOCATION n U �- •ye13 Date q 5 /8 Lv Permit No ,2 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms 1 Foundation Waterproofing Backfill Framing o_/ Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim s Stairs & Railings \ Cellar Drain Tile I\, Concrete Floors r Plbg. Fixtures \ ' Gar. Firef:,roofing \ Door Closers Smoke Detectors \" Chimney INSULATION: Foundation r Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - / ) // / ram. (4--/.4.4.\,,,..1 Building I spector% ' 0 6/86 and-vl cajtt 1/1818G 3:3°m // _town of Queeniburcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION e sR. d Date "Val/ p� Permit No. U lO "' 4/2,3 * * * * *• * * * * * * * * * * * * * * * * ✓ = APPROVED - YF�,�/ NO Footing/Pier Forms Foundation 4gr Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar.. 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