1986-505 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-505
r' I WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Slopey Enterprises, Inc.
OWNER of property located at Fprest Park Mobile Home Court, Pitcher Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a One—Car Attached Garage
at the above location in accordance to application together with plot plans and other information hereto filed and
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is Box 67
Cleverdale, NY co
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2. CONTRACTOR or BUILDER'S Name
same
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3. CONTRACTOR or BUILDER'S Address
same
4. ARCHITECT'S Name
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5. ARCHITECT'S Address H b
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6. TYPE of Construction—(Please indicate by X) 0
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(x)Wood Frame ( ) Masonry ( )Steel ( 1
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7. PLANS and Specifications N
No. 24'x12' per plot plan, specifications and application submitted. 0
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8. Proposed Use
One—Car Attached Garage
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 1987 n
(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.) rt
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Dated at the Town of Queensbury this 19th Day of August 19 86 rD
SIGNED BY -meteza.. /6 4,-s for the Town of Queensbury
Building and Zoning Inspector q t
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TO BE COMPLETED BY BLDG. DEPT.
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Application No.
own o f Queeniiury Permit Issued 19 .
BUILDING and ZONING DEPARTMENT MCP 'N OF QUEENSEUR'
N Permit Expires 19
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Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation f f-(A-A•i{,-;(�_ .1 it E
Queensbury, New York 12801 Variance No.
Site Plan Review No. AUG 1 .1 1986
/ _ f . (9-y, / 10 Approve y: A.Ivi. r' 'G� � ��
APPLICATION .FOR /2�j j � � 71��9�L���1�1�, �2�3i it A I
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BUILDING AND ZONING PERMIT �, ° U
* * * * * * ' * * * * * * * * * * * * * * * * * * * * * *• * * * * * * * * * *::.*
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: 3 �e.\( E4--7Gie �/JS Cr S, \
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P.O. Address c00 )( 67 Cz e.. �/2L�, /u /_�ZD Tel. 6"5-6-97Z7
Property Location: /--0/e S 7 7/9,e,e/ IG& /10/C, Cbovie 7-- 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:
Name P.O. Address . Tel. No.
Name of builder FfGk-, SLOnc Address C/Ev��r7/ � Tel. (p,�-z --P72 7
Name of plumber 1 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
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* 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 dispoL1 area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ,, 10 ft X / 7 ft.
* Existing building(s) Size 02 ft X z •� ft.
* . . . . . . . . . .
PROPOSED BUILDING AND USE: * Existing building (s) Use 2_.
Size of new str - e AL/ft X /2-ft C9� _,�1
Foundation-piers � ./crawl/partial/full * Proposed building/Vdistance from property line
circle one) ** Front yard ' ' Q ft Rear //
S ft
No. of stories (habitable space) Si�P`-may S ft and ft
/
Height (grade to ridge) /Q ft. * l G✓
if residential, no. of families * If on corner, setback from side street /6-0 ft
No. of rooms(excluding baths) . * OCCUPANCY INFORMATION
No. of bedrooms g,*�' ' *
No. of bathrooms (`' PRIMARY BUILDING -
* One family dwelling
Primary heating system : .xr�. * Two family dwelling
Type of fuel
No. of fireplaces to be installe• -z,p_ * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
7� '* Transient occupancy
Central Air conditioning? '?i��i-(_-__ Business
. BUILDING STYLE, PRIMARY STRUCTURE * Industrial' / ("--
Ranch Contemporary Log cabin * Other '
If addition w at will u be?
Raised ranch Mansion Duplex * ' �I �_..� „
Split level Old style Bun alow * _ _ ''�T
Cape Cod Cottage Other - * ACCESSORY BUILDING- (�r2r! f� s\ic,k/i-6,6-
Colonial Row Town House * Detached 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 ego *
$ c:2OOO
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 frame, fire safe,etc. Gl/
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? AA? Heated or unheated? WO Floor sq. foota e 2 8j sq ft
Will there be a basement? NO Will any portion be used s living space? ,(CO
(If so, what por sq.ft. - - pe of use? / ,e_ �
Type of roof - opecyflat/shed/other ' 7i Material.of roof �Y�-4 e
Size, wood studs "X " spacing /(p "o.c. length e 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) 2- "X `rL " spacing "o.c. span /. - ft.
Roof rafters 2- "X " spacing 2 o.c. span /a- ft.
Roof trusses(pre-engineered) spacing "o.c. span(�J ft. _ // I
Exterior wall finish ,Q Of what material? C /CJ2 i
Interior wall finish T�Ij
If a garage is to be attached, describe mate 'a to be used for FIRE SEPARATION:
Is there to be an opening betwe
P g gar ge and welling. f so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Cc Height above roof t.
Depth of chimney foundation below grade
Depth of fireplace hearth f n.
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private we l(including adjoining properties _ft.
(A separate application is necessary for any repair or new installation ofic system)
Town of Qucensbury AFFIDAVIT County of Warren 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 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/
Owner, orsaer's; agent,ar It et,contractor
day of • 19
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Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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SPECIAL CONDITIONS OF THE PERMIT:
By
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q // o / ccI// 8 6. I1 , ' /�0
awn 01 Queeniturj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME S 16 p U(7
LOCATION Gal-0
Date f �� / Permit No. 5-4 5
t' = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill ( /,,
,/Framing Y�Z J (9,.r
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
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- (! Q C/Lc r0
ci&J;),:rp jee___&P
Y?z - 5Y32
2OL
Building Inspector
6/86 and-vl
Jown of Qaeenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
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NAME )10 1914_
LOCATION p,r,c(..f& POA
Date 3/j r/ (4 Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
APPRO ED - YES / NO
Footin• Pier Forms 60j\j,L , 4,Ako p`R
•.8 •ation
Waterproofing >� /nUt)4 2 -a
Backfill ez, '(' /1/7/
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing _
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings \
Cellar Drain Tile
Concrete Floors ,
/
Plbg. Fixtures `•:.,1
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- - 7.706X1 .14, mUrptO- L
1447
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L - or
16 V g��)
Building Inspector
6/86 and-vl
TOWN OF QUEENSBURY
Building Department , •Inapecters
,Report _ Date I 1 C
Name ,� l
Location C .. � ti aPermit No. V o - S-p b Weather
Remarks
Excatation
Footing Forms 1, I F t)}BUJ
Footing & Piers oe- Kfs."0
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey •
Framing •
Sheathing
Roof Felt •
Roofing •
Siding
Masonry Veneer //
Rough Plbg.
Relief Valves
Wall Board 4
Ext. Porches
Finished Floor /
Interior Trim
Stairs & Railings r
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls '
Ceiling
IA/14,60/j--1
Building Inspector.
REMARKS
T5-Lcil\eap-4? /1/0-4,11-. 677 cif
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