1987-145 BUILDING PERMIT
TOWN OF QUEENSSURY No. 87-145
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WARREN COUNTY. NEW YORK
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PERMISSION is hereby granted to David R . Pearson
PIa
OWNER of property located at
Fr West Mt . and Fuller Roads Street. (toad or Ave. H
4DQXM
Storage Building
in the Town of Queensbury, To Construct or place a
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 RD #2 Box 236
Queenshury , New York 12801
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NTRACTOR or BUI LDER°S Name same ' S
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4- ARCHITECT'S Name
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S. ARCHITECT'S Address
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6_ TYPE of Construction — (Please indicate by X)
{ I Wood Frame l 1 Masonry ( ) Steel ( Y
7_ PLANS and Specifications
No. 10 ' xl4 ' per plot plan , specifications and applicat3an
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Storage Building t
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$ 5 . 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES
November 1 19 87
(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.)
13th Day of April 19_ 87 _
Dated at the Town of Queensbury this
SIGNED BY Q.t� G{/;
)01 - for the Town of Queensbury
Building and Zoning Inspector
To BE COMPLETED BY BLDG . DEFT .
�] 1 Application No . 19 i ukVN OF QUEcL4-AC
+vu� . Id
ln f� upB►Z3huI't� Permit Issued � 61T l ;
BUILDING and ZONING DEPARTMENT Permit Expires 19
Say and Haviland Road, R.D. i Sox 98
Zoning Designation Sjo //'� s 1LJRiJi �--/
Queensbury, New York 12801 variance No . A14 APR 10 M7
Site. Plan Review No * i4
a 3 ,� '$ . Approved by : BUILDING & C40 r �.
APPLICATION FOR _ r
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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 :
Tel 79
P . O . Address 2 L� x x .R 3 c ,�sr- r*rr n aA
Map No . Ix3
Property Location : Cc , e,lm iA2. 7` m .T"__
Street number or building lot. number
Subdivision name (if applicable) .N /9
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
V3au a..3�6 GJc3T 40-3w r. .0 s. G�.�s ,J=�teS r1.! Y 128o/ 79Y-/S
L�fiv , U f2 i" 7i2 sca+Name P , O . Address Tel . No .
Name of buiider�yyA V E[ 7 ' Sv+� AddressACD .P`2 &x Z.T6 e%j4 '�'3` ,�T /z'U Tel .�7''� ,9"
Name of plumber �c1 Address Tel .
Name of mason nJ /� 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 niarn]7er 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 .
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COMPLETE INFORMATION REQUIRED 'BELOW .
Size of property a g rC ( 03 ft X 231 ft W X ec c
Existing building ( s) Size Ca S� ft X yip ft .
PROPOSED BUILDING AND USE : Existing buildings ) Use gZ3/1a47uCr
Size of new structure fCP ft X 1A, ft
Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line
(circle one ) Front yard / 745 ft Rear yard 01..c'' ft
No . of stories ( r rtR��e space ) 1 * Side yards z - ft and J '7J ft
Height ( grade to ridge ) ft" If on corner , setback from side street 2j ft
If residential , no . of families o9
OCCUPAfNCY INFORMATIONNo . of rooms ( excluding paths) ►
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No. of bedrooms_ N PRIMARY 131JILDING -
No . of bathrooms N J7
One family dwelling
Primary heating system Two family dwelling
Type of fuel Multiple dwelling / Number of units
No . of fireplaces to be installed Permanent occupancy
Will a wood stove be installed? Transient occupancy
Central Air conditioning? N Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ot he r
Ranch Contemporary Log cabin * I� addition , what will use be?
Raised ranch Mansion Duplex
Split level old style Bungalow
Other * ACCESSORY BUILDING-
Cape Cod Cottage Co onial Row Town House Detached garage/one car/ two car/ car
�C y r3 ( CIRCLE ONE PLEASE }
Attached garage/one car/ +two car/ car
* * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE of OAner
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 frame , fire safe , etc , y�apG b ,-r2�9riT�
Will any second-hand or ungraded lumber be used? If sop for what ?
1+G
Foundation wall material ,ql ,t) __Thickness
Depth of foundation below grade (to bottom of footing )
Will there be a cellar? ^1p Heated or unheated? Floor sq. footage s ft
Will. there be a basement? q
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 9. "X " � " spacing 2 C . length $ ft .
Joists ( floar beams ) 1st . floor "X_(;�—" spacings"o . c . span /c> ft •
Joists ( floor beams ) 2nd . floor A PAX " s acin
Overlays (ceiling beams ) � „X g "p • c . span ft .
spacing it span fo ft .
Roof rafters :2, "x r spacing z_<1 O . C . span Z40 ft.
Roof trusses (pre-engineered) spacing "o , c , span ft .
Exterior wall finish , y , d _ Of what ma terial?
Interior wall finish A'l q _
If a garage is to be attached , describe materials to be used for FIRE SEPARATION : T
Is there to be an opening between garage and dwelling? ,ry If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed? o,c> Height above roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft , in .
Water supply - Municipal or private well n
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining Properties ,v ft ,
(A separate application is necessary for any repair or new installation of septic
Town of Queensbury
County of Warren A F F I D A V I T STATE OF NEW YORIK
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 r
day of lg C7wner , owner ' s agent , arCha.tect, contractor
Notary Public , Warren County , N . Y .
SPECIAL CONDITION'S OF THE PERMIT :
By
_ Joeurr of Queeriskury
L�
iBU4LDING and ZONING DEPARTMENT
gay and I-laviland Road, R.'G . 1 Sax 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAMEYt�?iL.
LOCAL' I ON c' � ,� '
Date /c`�' /{���
Permlt No .
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
'Sackf ill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext , porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Ti
Concrete Floor
plbg . Fixture
Gar . Firepro Ping
Door Closer
Smoke 'bete ors
Chimney
INsuiATIO
Foundatio
Floors
Walls
Ceiling
FINAL FLECTRICAL INsPEC'TION DR-IVEWAY APPRLIV Su
Final. Building y
Next scheduled inspection (call wY7eY" ready
Remarks — �
N%6� Building Inspector
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