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1987-097 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-97 [� WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Charles Chilson n OWNER of property located at Ckc Applehouse Lane Street, Road or Ave. f m Two—Car Attached Garage in the Town of Queensbury, To Construct or place a co) at the above location in accordance to application together with plot plans and other information hereto filed and r. approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ w a t . OwNE WS Address is 5 ;A,pplehou.se Pane Queensbury , New York 12801 2. CONTRACTOR or BUILDER 'S Name Kevin C . Speck Ln ,tea 3. CONTRACTOR or BUILDER'S Address RR #5 Box 180 0 Glens Falls , New York 4. ARCHITECT'S Name r ps (D S. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) f } Wood Frame i ) Masonry 1 ) Steel 1 } o. 7. PLANS aril Specifications 24 ' x25 ' 6't per plot plan , specifications and application rt No, submitted . r 0 rs 8_ Proposed Use o Two-Car Attached Garage £ po r+ $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October �g E37 0 (If a longer period is required an appI!cat ion for an extension must he made to the Building and Zoning inspector of the 0 town of oueenshury before the expiration date.) ¢' n Dated at the Town of Queensbury this 30th Day of Larch 19 $7 w av ro SIGNED BY � , for the Town of Queensbury g.Buildin and Zoning I nspector G' TO BE COMPLETED BY BLDG . DEPT ., II Application No . TOWN OF 4. UE-- ! ko*Cj 7 owol 0/ Queelljgury Permit Issued 19 I Bl11LL71NG and ZONING DEPARTMENT Permit Expires 19 Play and Havifand Road, R. D. 1 Box 98 Zoning Designation ' MAR 21A0 Queensbury, New York 12801 Variance No. FJJVV site Plan Revie o . I BUILDING (Ir CODE DEPT (� 14 Approved by : APPLICATION FOR � � 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 pro'}perty is : P . O. Address 5 It U� nnja Tel . 29�2 - { 2Q3 _ Property Location : j Tax Map No . Street number or building lot number Subdivision name Cif applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING COZIES IS : Name I P . O . Address Tel . No . Name of bui lderk� L Aar-k Address 4x � '{� fa s Tel . Name of plumber Address Tel . Name of mason lnnje IflS 51 � 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 lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . Size of property _See c ft X /�(�,�• ft - Existing builcYing ( s) S1 ft x ft . PROPOSED BUILDING AND USE : Existing buildings ) Use F' T_a--^ �� 6S n.ew structure . - ft } j(oft oundation}pier/slab/crawl/partial/full * Proposed building, distance from property line ( circle one ) No . of stories (habitable space) 40 Front yard ft Rear yard ft _ Height { grade to ridge } r * Side yards ft and ft /�( ft . If on corner , setback from side street ft If residential , no . of families No . of rooms ( excludi.ng baths ) OCCUPANCY INFORMATION Now of bedrooms No . of bathrooms PR RY BUILDING Primary heating system vl/ One family dwelling Type of fuel Two family dwelling No . of fireplaces to be installed Multiple Swelling / Number of units Will a wood stove be installed? Permanent occupancy Central Air conditioning? Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ran Contemporary Lagcabin '" Other �Ra.._i es dd ranc Mansion y Duplex W If addition , what will use be? r r 9p 3.t Se Cold style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Colonial Row Town House ��'etached garage/one car/ twocar/ car ( CIRCLE ONE PLEASE ) * ./ Attached garage/one car/ wo ca / car * * * * * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF _Other CONSTRUCTION $ - � Cy0C1 - - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SKEET , TO BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . 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 No spacing "'o . c . length ft . Joists ( floor beams ) 1st . floor " X OF spacing "c . c , span ft . .joists ( floor beams ) 2nd . floor '"X spacing "o . c . span ft . Overlays (ceilingr beams ) "X " spacing "o . c , span ft . Roof rafters "X IF spacing o . cl 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 us d 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? Heigh abov r of 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 A F F I D A V I T STATE OF NEW YORK eonsbury Warren County off Warren 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 *gnatur _ �------------- r , a en , archxrect . contractor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : By--...------------------........... s 414764 F FIRE UNDERWRITERS THE NEW Y€) RK BOARD O BUREAU OF ELECTRICITY FA�Y E 'STREET. ALBANY, NEW YORK 1 207 A t� � O 7 99 November 24 r 1.987 ApplicationA7 STATE No. on file Date THIS CERTIFIES THAT &nd iarerodUCOd by the OPP"C's rt ne'"Sed an fire ahoroe aPPi ertran nrrrrrber in the pro +ere+ o oray tine e[sctrical egesiprrrent as describOd baf+rra ggT1£Tb11r'q s NeWYork Charles Chilsanr 5 Applehouse Lerner Qn 1 toel . 5 ,g r—� 4tttBidgfGarsk+e section 8$ ,Ntock in the foliouing iacatiopy 1 l[A esewrent 0 lst F1. � 2nd FY. oirements of thin Board. .7 ! and foee nd to be in coarp Once wide the r�eq ums examined on DISH WASHERS EXHAUST FIXTURES RA FANS NGES ppGKtN4 DECKS 1 K E FIXTURE AMT. K. W. AnAr- K, w. 5 AMt. .vr. AMT. K. W. RXTURE AMt. rI. ►. FI AC1ES SWITCHES NCANDESUNr K Op"CtNT v 4 6 MULTI- W"Et DIMMERS UNMT HEATR=S p1TURE APPUAt4fCE !'EEiYEEs SfECIAL EEC'PT TIME CLCICKS +SYSTEMS AAeT, WATTS TRANR^N AMr. DRYERS FURNACE MOTORS uAr- AAvs. S. Ie• ►. No, OF HET N. P, GAS H. P- AMT. NG. A. w. G. AAeT- AMP. AMT. K. W- OIL M C E S A, W. G. No Or NEUTRALS err NEUTItA1. SERVICE DISCONNECT I�o.OF NO Or CC. (:ONO. A W. G- NO, Or MI-lEG OF HI-lEG AMTr AMP, TYPElGMJtP, r 0 xw .e avv a X aw s X •w ►ER t Or cc. 4pND. S OCHER APPARATUS- Kev:L11. C • SP C ck � FM I RR #5 BOX 180 � � mANC MANAGER Glens Falls ► New Yor1c 12801 pl }, Par This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may Mae identified by their credeMiafs. COPY FDR BUILDING DEFlaft'TMENT. TFi15 CDPY-OF C'ERTIFICJ�TE MUST N07 BE ALTEREDIN- AN - - - -- - - - — — _.,fawn v� �ttver+ 3 � urt� BUIL-DING and 7()N1NG DEPARTMENT 98 Bay and Havitand Road. R.D. I Box C) ueensbury, New York t28d1 BUILDING i NSPEGTdR ' S REPORT NAME �-- � S C Imo, LOCATION pa3 e ��, -f Permit APPROVED - YES NO Footing/pier Forms yoxmda t ion Waterproofing Backf i I a (.�aming Roof ing Siding Masonry Veneer Rough Plumbing �---- —� Relief Valves Ext . Porches Finished F1' ?0rs Interior Tri- aL%r stairs & Rail-1. Cellar Drain Til Concrete Floors Plbg . Fixtures ------� r� Fireprpofing Door Closers Smoke Detectors Chimney INS[3LATION : I Foundation Flr)ors Walls Ceiling FINAL ELECTRICAL INSPECTION__�,� 13RIVEWP,Y APPROVAL 5urve7'.�-� }jdWit�al iSuilding I� inspection (call when ready } Next scheduled Remarks- Building Inspector 6/86 and-vl flown Of Q"eenjl ury g,OItpING and ZONING OEPARTMENTi 1 Box 98 Bay and i-laviland Road, R.D. aueensbury, New York 12801 iftI / 7'0 BUILl] ING INSPECTOR ' S REPORT LAME ll. � LOCATION l �r� Permit No . Date APPROVED YES LdC) Footing pier Forms 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 Pl'bg . Fixtures Gar _ Fireproofing Door Closers Smoke Detectors ChimneY INSULATION : Foundation Floors walls Ceiling ---� FINAL ELECTRICAL. IpySPECTION �_�_ DRIVEWAX APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks ro, 3,, ee, 4L+ Building inspeotiO f,�gs and-vl �ocure o� �i�.aeen .�6ter� BU1LDjt+l and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 BUIL.DIlNG +�INSP' ECTOR ' S REPOPT NAME LOCATION &F,all / U fC Date' Permit No . ` 7 — 1 * * * * * * * * * //* APPROVED YES NO rooting/Pier Forms ]Foundation Waterproofing ,,/ ackf ill v 'yraning Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior 'Trim Stairs & Railings Cellar Drain 'rile Concrete Floors Plbg . Fixtures Gar _ Fireproofing Door Closers Smoke Detectors Chimney XN SUI ATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL XNSPECTION_ _ _.. DRIVEWAY APPROVAL _ Final Building Survey Next scheduled Inspection (call when ready 12emarks- Buil ing Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.O. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECT©R 'IJS REPORT NAME LIOCATIftynt I Q APPROVED - YFS NO Footing/Pier Forms^ RCQ�ec.rl04% Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors -- interi.or Trim �_ - -- Stairs & Railings _ Cellar Drain Tile Concrete Floors Plbg . Fixtures � ;' --- Gar . Fireproofing Door Closers Smoke Detectors t Chimney : INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICA :j INSPECTION DRIVEWAY APPROVAL Final Building Survey _ Next scheduled inspection (call when ready ) Remarks- Building` .nspector 6/86 and-vl '¢/2 /P7 0( SAS A411 flown o f Q"eeff ilmery BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Box 98 Queensbury, New York 12801 BUILDING // INSPECTOR ''7$r,- REPORT NAME ' h Q r 1 E'� L� f7 f f s '1"1 LOCATION Date iy(12/ Z Z Permit No - ✓ APPROVED - YES NO Footing/Pier Forms 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 Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready Remarks- ,L"7 m Building Inspector 6/86 and-vl 3l3 � lr ? / flo4evn o/ ueen3hure�t BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R_O. 1 Box 98 Queensbury, New York 12801 BUILDING �+ INSPECTOR ' S REPORT L.. NAME C i { 5C+ h LOCATIONppl �+ ous l. �i •, t � a e Date 131 /_�_� Permit No . ✓ APPROVED - YES NO Footing/Pier Forms 44r-4 ,�zA 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 Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarrks-- =uorr � w + 11 J6 a '�L ' Wi [ re d le4z AIL Building Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. 'FILE THIS COPY WITH BUILDING DEPT_ WHEN REQUIRED, TEMP. # DATE i .... f CITY OR VILLAGE TOWNSHIP , COUNTY STREET AND NO, OR //}} L { ROAD AND POLE NO. !f" p h l i,,. n POLE NO BETWEEN WHAT TWO � T f PREMISESCROSSSTRLOCAEETSIS Y TIE k L) I {:.a" '7t i"C�#°/' �`.,,F 'J / -- SECTION BLOCK � LOT OCCUPANT'S BUILDING NAME AL' hl-LLIP� OCCUPANCY f ! J�F f"' Kr - r C, OWNER'S NAME 6.. ,;.AND ADDRESSSol CURB NT SUPPLIED BY20Z FROM THEIR OFFICE BUILDING DEFECTS IS NEW ❑ OLD Its NEW ADDITIONAL ❑ REMOVED LIST BELOJ ALL EQUIPMENT WHICHYOU INSTALLED NUMBER OF OUTLETS No. of Fixtures & BRANCH Lamp Receptacle% MOTORS HEATERS CIRCUITS OFFICE USE Lora tion ONLY Ceiling Side Attach't Switch Pendant Bracket Na. .Type E No. TZ No. A.W.G. well Racap'La Each each Gaslgs INSPECTION Out- side Sub- base Barr ment tst Fl. I Znd FI. 3rd Pl. REMARK'S: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DD NOT USE THIS SPACE. T hgg appl iCa l ion is (mended I Carer the above-I isted equipment to be inspected but if at time of inspection there is found additional equ ipm ant not above Listed, you are aath on zed to make the insps ti an and adjust the fee to Corer the additional equipment, " provided by the applicant, SIZE OF ELECTRIC SIGN TOTAL MAINS . FEEDERS LAMPS WATTS CHARACTER EXPOSED OAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE a � ,_ -^ {NUMBERI ICAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEA /' UNDERGROUND MAKER ' ENTERS iu/ BUILDINGOF SIGN INSPECTION flEU 0 E57EDJ�� �� N OR AS NEAR LJT/- „/ POSSIBLE NEW OLD AVOID DELAY RY GIVING FULL AND ACCURATE thI FORMATION. ALL SPACESMUST BE FILLEO IN OR APPLICATION MAYBE RETURNED. PRINT NAME AND ADDRESS NAME OF // IDATE OF APPLICANT -+�'/, : s. ,._ '}rr- k APP L ICA T IONPi STREET ADDRESS /"� f!1f�X ,iY 7 ( / TELEPHONEA/ I CITY OR i. 4 ZIP {� LICENSE NO. POST OFFICE F ; f k CODE .� -�� 0 ,^WHEN APPLICABLE ae EL (REV. 1f05) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING p4e I00 ,Cooa " Pr-rj7C-5 .c I YO ► st hen t. a T = Gf�91 { 1 N J Lf 1 1