1986-769 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-769
WARREN COUNTY, NEW YORK co
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PERMISSION is hereby granted to Harold L. Hermance, Jr.
OWNER of property located at Luzer ad and East Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Car Detached Garage
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 East Drive •
Queensbury, NY 12801 . rx
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address
same
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) Pa
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(x)Wood Frame ( ) Masonry ( )Steel ( ) t=1
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7. PLANS and Specifications
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No. 14'x24' per plot plan, specifications and application submitted.
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8. Proposed Use
One—Car Detached Garage
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5.00
$ June 1 87
PERMIT FEE PAID —THIS PERMIT EXPIRES 19 rt
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the CD
town of Queensbury before the expiration date.) rt
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Dated at the Town of Queensbury this 6th Day of November 19 86 a
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SIGNED BY ( for the Town of Queensbury
Crj Building and Zoning Inspe ocf r� 04
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TO BE COMPLETED BY BLDG. DEPT.
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�c]7 Application No. it:Arr N OF ^�k ,E a a t '
JOuin o f QueenAury Permit Issued 19 , , N IJ
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1 BUILDING and ZONING DEPARTMENT Permit Expires 19 '" ��
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 4 1 4 I "
i Queensbury, New York 12801 Variance No. edV ig'
1 / Site Plan Review No'. ,,�I P.M,
_
• / 13 - 7181901.1)12)11212141W
Approved b PCCn668 ® 'S'" P a c.a s oe
APPLICATION FOR IA l r i� . 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
1
special conditions as may be indicated on the Permit. .
The owner of this property is: 9:14,)p r; /�/(e'iy/7 ( ( v , .
P.O. Address 1 7 S'T /)e , Tel. �' /., ,3 '
Property Location:Lv y,.e y /0"-4r yi,,.e.,(0, ,-?S 4;e, ),(' J5 Tax Map No. / /
Street number or. building lot number
Subdivision name1 (if •applicable) . '
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
j/�9.ec)r iJ /, / ^9i4,7,9-i C, • •
Name P.O. Address Tel. No. •
Name of builder, ;l,i a�fip er„.71,42. Address (=;9 j'7" /) Tel. 7$ 3—Z 35,
Name of plumber Address Tel. •
Name of mason //e2 ,1 .• )74,,,,/41..aeAddress 5'`� ' Tel.
NATUR F PROPOSED WORK: * ZONING 'INFORMATION:
1 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 • 7l Li ft X /IS ,ft.
, * Existing building(s) Size /4% ft X ? t ft. a,:t.
*
PROPOSED' BUILDING AND' USE: .
* Existi building(s) Use
Size of new structure ,/ / ft X,24/ ft * 1'r5 ,
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one)
* Front yard 5 7 ft Rear yard C/(� ft
No. of stories (habitable space) / * Side yards 1/45 ft and ft
Height (grade to ridge) • j rff ft. * If on corner, setback from side street ft
If residential, .no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms " . . . . . . . . . • . . *
No. Of 'bathrooms * PR BUILDING -
Primary heating system ' * One family dwelling
Type of fuel * '---Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove 'be installed? Ajo * Permanent occupancy
Central Air 'conditioning? * Transient occupancy •
* Business
BUILDING STYLE, PRIMARY STRUCTURE * . Industrial
Ranch Contemporary Log cabin * Othet. be?
•
Raised ranch Mansion Duplex * If addition, what will use .
Split level Old style Bungalow *
Cape Cod Cottage Other '• '* ACCES ORY•BUILDING- '
Colonial Row Town House * ' etached garage/one car/ two car/ 0�, c.car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * ' Private storage building
ESTIMATED MARKET• VALUE OF * 'Other
CONSTRUCTION *
$ , %.700
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. CL)an p irtt m L
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material r- e. 1+i c h T Thickness /6 i>
Depth, of foundation below grade (to bottom of footing) to"
Will there be a cellar?,4_p Heated or unheated? rijC, Floor sq. footage '3 -3 G, sq ft
Will there be a basement? r,, Will any portion be used as living space? ,v C1
(If so, what portion? sq.ft. - - Type of use? '
Type of roof - sloped/flat/shed/others•/nv,cr/ Material. of roof (.,r_tc�rs r, I a SPh I T 54 i--+�I-
Size, wood studs "X Gf " spacing )G, "o.c. length ft. • r
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) a "X 4/ " spacing,/ "o.c. span 2 ft.
Roof rafters "X " spacing,' o.c. span 2. ft.
1-05i5of trusses (pre-engineered) spacing 9 y "o.c. span ft.
Exterior wall finish (4,4 rF,'- /�r��,,,� Of what material? (,)(1(-71-2
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? j ) 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 r— 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 A F F .I D AV I T STATE OF NEW YORK
County of 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 Si nature�i� _-e_
Owner, owner's agent,arcnitect, ontractor
day of , 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By (2'44/3
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