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1986-435 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-435 y WARREN COUNTY, NEW YORK o 6 \VV.)) Co PER ISSI N is hereby granted to Thomas W. Stimpson cn OWNER of property located at 2.(511 5 Stephanie Lane Street,Road or Ave. N B in the Town of Queensbury,To Construct or place a Storage Shed/Pool 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 21 Stephanie Lane Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name N Todd Murphy I- rt co 'rJ 3. CONTRACTOR or BUILDER'S Address 7862 Reservoir RD. H. co Glens Falls, N. Y. 4. ARCHITECT'S Name CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ()C )Wood Frame ( ) Masonry ( 1 Steel ( ) 7. PLANS and Specifications tn No. 20'xl0' per plot,specifications and application submitted. rt 00 8. Proposed Use cn Storage Shed/Pool Building a b 0 0 $ 10.00 PERMIT FEE PAID -THIS PERMIT EXPIRES Feb. 1 19 87 N (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Ov town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 25th Day of July 19 86 SIGNED BY //��� 2/ for the Town of Queensbury Building and Zoning Inspector e..) TO BE COMPLETED BY BLDG. DEPT. Jc7 Application No. ow,,n of Queenturj Permit Issued 19 TOWN OFQUEENSBURY BUILDING and ZONING DEPARTMENT Permit Expires 19 RECEDVEBay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York.12801 Variance No. Site Pla view/ l No. JUL 2 519D6 C` Approv ' by: A.M. t— '1 t n P ` APPLICATION FOR 9 �-- 4 1 , , i 1 4 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. L The owner of this property is: _1 1--o,,,i LD S�5,, (•�,^ Af P.O. Address al S'F y,.4*-- -g. C/ tr• Tel. 7 9 3 7 ) v7 Property Location: f Sf /4 t4YJ;,Q -A,9 9 Jil/ { Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: CO !/ JC/ 14.•®- Name P.O. Address Tel. No. Name of builder 7 Ot:� CD f-tal if(-1 'T Address 7��()2 1e k'.6= "t e . /? Tel. `'t 7_. `-1 i.`(:. 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 andfindicate 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 * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property ft X /cy'i ft. * Existing building(s) Size 4f0 ft X v��- ft. PROPOSED BUILDING AND USE: * C `lo x. . co * Existing building(s) Use � Size of new structure 2C7 ft X /0 ft * v 1 4 - / Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * * Front yard ' / S77 ft Rear yard 3 0 ft No. of stories (habitable space) cr * Side yards (0 0 ft and / 5 . ft lC Height (grade to ridge) o - Ca ft. * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms a/OA/E"-- * No. of bathrooms * PRIMARY BUILDING - * r/0-ne family dwelling Primary heating system ,.6'✓7s° 41" * Two family dwelling Type of fuel afg)Al -- No. of fireplaces to be installed * —Multiple dwelling / Number of units Will a wood stove be installed? xjej * r/rermanent occupancy Central Air conditioning? rx ie`-, * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE , Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bun alow * 2� co. ,C' On fpod/ f�ot(�, Cape Cod Cottage Othe * ACCESSORY BUILDING- Colonial Row Town House * (...-DgE ached garage/one car/ two car/ - car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * ' Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ rj rv�• a r7 * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl • BUILDING PERMIT APPLICATION CONTINUED - a . BUILDING SPECIFI_CAIIONS: Type of construction, wo rame, ire safe,etc. �� Will any second-hand off'-ungraded lumber be used? If so, for what? Foundation wall material K}�%�e,G. Thickness Depth of foundation below grade (to bott noting) I Will there be a cellar? h)(� unheated? Floor sq. footage sq ft Will there be a basement? 1,1U Will any portion be used as living space? 0 (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/fla s ed other Materialof roof • Size, wood studs !f "X --` spacing ) "o.c. length r 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 9 "X 5 " spacing /4: o.c. span ft. Roof trusses (prt=engineered spacing "o.c. span ft. Exterior wall finish r.� / ��yi1 �c� Of what material? 4,1„ p rt>ev 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 Warr„pn .-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;-whe.the-r-spec f-ied-or -not, and-that suchwork is authorized by the owner. • SWORN TO BEFORE ME THIS Signature ' Owner, owner's agent, rcnitec',contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • By ,Jocun o . Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Dlr)as ,5f//n So LOCATION 2/ open/ Date l /l / / Permit No. g6 ~` -3 * * * * * * * * * * * * * * * * * * * * * * * i� = APPROVED - YES / NO Footing/Pier Forms 1 Foundation Waterproofing Backfill /Framing (-c Roofing 1 \ Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches R Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile l��\ Concrete Floors Plbg. Fixtures Gar. Fireproofing / Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - ! Building Inspector 6/86 and-vl vppi NP 'A'Y 1 -- ^Jocun o� Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 54F1 P'O LOCATION` t ). 12bin ,i ( ) Date VIC/ �� Permit No.FLitrt( A-2 * * * * * * * * * * * * * * * * * * * * * * * �� ✓ = APPROVED - YE NO ►'Footing/Pier Forms 5j FSC--P Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext.Jorches FinisYr d Floors InteriorTrim Stairs- &-Ra -l`ings — — Cellar Drain Ti Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers / Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTR CAL INSPECTION Final Building Survey ASe+crt0.►) 6 c- rQ 4M(N(e4S&P.I1 C_- Next scheduled Inspection(call when ready) Remarks- - A/VbLi -t 4(L 5)LAr6 -.o,( U,v,p sL ni P2-0,A/1 t ti(o Fo re_ r-ru ra- S v itivA4, z Bu lding Inspec or 6/86 and-vl ov,> 6,.-dL yei0 vs C- I-a2 PO 0 A Ct, Pi-v/41/44- 5/--e•y rG ?CobFivG V A-7- L 14 ASPS- Z,1C S 1-FTMS 1,Cc" o/// G i • '-1 .i�L Po v tSL t` o Zib�! Siu� w�t:L t ,( o/ f� • r i 7--/a/c.„ i4-,0®�t� 64 IGa > P) r1i