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1986-594
BUILDING PERMIT TOWN OF QUEENSBURY No. 86-594 WARREN COUNTY, NEW YORK � \/\dt Wm. Joseph Hanley PER ISSI Nis hereby granted to OWNER of property located at C Glen Lake Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alteration to dwelling (cover patio) 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. c� 0 Co 1. OWNER'S Address is RR #1 Box 1644 Lake George, New York x Iv 2. CONTRACTOR or BUILDER'S Name kC same 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name r m 5. ARCHITECT'S Address . 0 W 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( I Masonry ( I Steel ( ) 7. PLANS and Specifications 6'x16' roof and stairs only over existing patio per plot No. plan, specifications and application submitted. ID 8. Proposed Use rt 1-1 One—Family Dwelling (alteration to patio) .. w � rt O r• • 0 0 • w rt $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 87 4:13r 0 (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 Queensbury before the expiration date.) •.-' Dated at the Town of Queensbury this 18th Day of September 19 86crq SIGNED BY Cal for the Town of Queensbury Building and Zoning Inspector 1V tl:a I..VC'ILt LL.1LL U1 1JL,,v. 1..1iI'1. . c� Application No. } JOtu/1 of QuEeniur/ Permit Issued 19 URY BUILDING and ZONING DEPARTMENT Permit Expires 19 I i 03 Yi} OF QLlEE►�.r�3- � �n �Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation S R E C E � �I ]jJ Queensbury, New York 12801 Variance Rat., j MA SEP Site P1.•fi Review Ne. j i SE • nO Appro -d..cj •••' / ' A.M. /0 (1- 014:M- APPLICATION FOR ,r_.% Z" i• 71 M1 0P)I2 Z 2d 1 BUILDING AND ZONING PERMIT I . *• * * * * * * * * * * * * * * * * *. * * * * * * * * * *• * * * * * * * * * .* .:* 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: z(;;,ts) A.£4, P.O. Address /�%j / 1,r /(g YI/ A Cy_�&cp lrcn,n,-- /O Tel. 7/�j- V36 O Property Location: G/e,r/ ,(n �'e ulr‘r/2 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 `��c- Address ,we/ a, /�ry /.o4-p,��p 95.Fel. j 7 60 Au Name of. plumber Address U Tel. Name of mason Address Tel. NATURE OF PROPOSED WDRK: * 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 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 �8Uc e) ft X 02O0 ft. * Existing building(s) Size r ft X ”/ ft. * PROPOSED BUILDING AND USE: • * Existing buildings) Use 7 ,?f(c Size of new s ucture ft .X / ft * Foundatio pier lab/crawl/partial/full * Proposed building, distance from property line (circle one) Front yard . (P ft Rear yard /c5 O ft j * No. of stories (habitable space) /z * Side yards • clot, ft and (n p ft Height (grade to ridge) /© ft. * If on corner, setback from side street ft ' If residential, no. of families / No. of rooms(excluding baths) + * OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUILDING - No. of bathrooms One •family dwelling Primary heating systel.,rsi4;e- * Type of fuel (Z0; * Two family dwelling No. of fireplaces to be installed Ac * Multiple dwelling / Number of units Permanent occupancy Will a wood stove be ,nstaliad? * T ansaent occupancy . Central AircQncitigning?.._ __ J/�c * . ..IILSing@g BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other If Raised ranch Mansion Duplexr * addition, what will use be? . Split level Old style Bungalow * O C'Cc�Cr P„ ��J", . a.pe- C•_dIN' Cottage Other * ACCESSORY BUILDING- 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 CONSTRUCTIONS * • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - L� � `�V rC/�'t J (5 4 i - s e/V �6I e!^ vc l S ��►g G�ct BUILDING SPECIFICATIONS: y/ Type of .construction, wood frame,.' fire safe,etc. teJoedleF4 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? 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 - sloped/flat/shed/other Material.-of roof Size, wood studs "X " spacing "o.c. length 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 "X " spacing o.c. span ft. ' �� Roof ,trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish 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 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 • 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 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, nd that such work is . authorized by the owner. • • SWORN TO BEFORE ME THIS Signature v j � y Owne , owner 's 77ent,arcnitect,con ractor day of 19 • Notary-Public, Warren County, N.Y. • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • - • • • • • • • • By • • • I -II in hirrorin -7-1--iAl Aunt j- ■ ■■ ■■■ ■��■■■■• NE ni 9•Pii T..1 .7_,. 7::';111:11=1. ,. :q• .- . 7 it:•7,7"---.lila 1 i_ 7. ir •111--.1—-—- ■�■ � n ! , _ - C• ■' mi ---■. •■.u■■■••■ usi: -1,�. . irir • • ■IC• s•■•=••.■•• •■. : `aIIIMIKA:- ' -I. ■ _ .: -C• . - •: i. ..::::: C. .ii i - _• -. -- . i0 ■.E■. ■■■■r•. ■■ ■ - ■ _ - _ _4_ .1 -■ ■ u■■■ -- --- •. iii_ _ •. . •.E■. _ T • . __ . 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