1987-185 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK N0 87-185
PERMISSION is hereby granted to
Robert Higgins
OWNER of property located at
79 Haviland Ave , ..�,.
in the Town of Queensbu Street, Road or Ave. o
at the Toone location in u accordance to a g (deck) ro
approved and in compliance with the Town oflQuron together with plot plans and other information hereto filed and r
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eensbury Building and Zoning Ordinance. x
t. OW►�NER"S Addr )a,
ess is ao
79 Haviland Ave .
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Queen.sbur
Y= New York 12801
2. CONTRACTOR or BUILDER $ Name
same
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3. COrVTRACTORor $UILDER ",,,cAddress to
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4_ ARCFIiTE CT"S Name p,
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S. ARCHITECTS q�
B. TYPE of Construction — iPlaese indicate by X1
( ) Wood Frame { I Masonry r ) steel
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7. PLANS and gpecifications
No. 16 ' x22 ' per plot and application submitted .
$, Proposad Use
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[}ne—Family Dwelling (deck)
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$ 10000 c
PERMIT FEE PAID "-
[lf a longer — THIS PERMIT EXPIRES November I.. m
town of Clueen is required an application for an extension '}9 87 F-+
sbury before the expiration ,data.! must be made to the Buildin
9 end Zoning Inspector of the
Dated at the Town of Queensbury this
21st Day of April
/� ❑..
SIGNED Ely 8 7
Building and Zoning Ii cto for the Town of Oueensbury ...
� TO BE COMPLETED BY BLDG . DEPT .
_7.02 o/ QdeerviLry Application No .
BUILDING and ZONING DEPARTMENT Permit Issued 19 TgWN OF LU OE'u +- RY
Bay and Haviland Road. R. D. 1 Box 98 Permit Expires 19 { �l��f� 11�5 1 �+►
Queensbur Zoning Designation
° iJ
y, New York 12801
Variance No . APR ZO 1987
/ Site Plan Review N [�
-a a - ! ` / Approved by :
BUILDING Be CODE DEPT.
APPLICATION FOR
PU I LD I NG 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-he-indicated
��on the Permit .
The owner of this property is,
P . D. Address p, 11, G � -
O`f -f Tel .Property Location : �' ?�, r
' �
Street number or building lot number Tax Map No . / �r
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR. SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P . O . AddresE
Name of builder /// mq] No .
Name of 1 �" � Address (� 1..
p umber Address "" W �` lo CBS �
Name of mason Address
NATURE OF PROPOSED WORK : f�TTe
Construction of a new building * py '� I� ./�1�717`� +,�
Addition to a building * / ► y.� 1� STTTD ,
Alteration to a building d �. I�G J 6 .,M , r. d hereto ,
* .r
S.
• ildings ,
(no change to ext riot dimensions ) * r„i
ter rk s J * sate all
C-� * s es . Give
FOR DEMOLITION PERMIT , STATE SIZE w* ndicate
O f
LOCATI 4F STRU U ,S AFFECTED . * c
+ AND location* o 'iguration
< Cf/{ 4
Size of property '� `� ft .
* Existing bullding ( s�ze �ft PROPOSED BUILDING AND USE :
/ _,_.... * Existing building (s ) Use o:
Size of new structure _. ft X ft * /
Foundation- /s a rawl/partial/full * Proposed building , distance from property ] ne
< circle one ) * r_ -
Na . of stories (habit le space ) Front yard £t Rear yards ft
Height ( gra to rid e ) ft . * Side yards ft and / d ft
If residenti 1 , no , o£ Families * If on carnet , se ck from side street ft
No . of room ( xcl ing baths } * OCCUPANCY INFORMATION
No. of bedr om
No . of bath o s x �Y BUILDING -
Primary heat ' g sy em * ne family dwelling
i`YPe of fuel * Two family dwelling
No , of fireplaces to b installed * Multiple dwelling / Number of units
Will a wood stove be ins alled? * Permanent occupancy
Central Air conditioning? x Transient occupancy
BUILDING STYLE, PRIMARY STRUCTURE * Busaness
* Industrial
Ranch Contemporary Log cabin » Other
Raised ranch Mansion Duplex If addition , what will use be?
split level Old style Bungalow
�Caponi''a� Cottage Other ACCESSORY BUILDING-
'w Town House * Detached garage/one car/ two car/ Car
( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/ car
* Private st geFb {lding
ESTIMATED MARKET VALUE OF
CON STRUCTION Other___`- Yd�
$ * _`J
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 constructionor 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 ) or sqm footage sq ft
Will there be a cellar? Heat or unheated? `used living space?
Will there be a basement? _Wi any porti5a be
s ft . - - Typ� of use?
( If so , what portion? q ` Material of roof
Type of roof - sloped/flat/shed/other ft .
Ox spacin ',o . c . length
Size , wood studs „X acing span ft .
Joists ( floor beams) 1st . floor ,IK „ sp ing „o • c • span £t '
Joists ( floor beams) 2nd . floor ft *
overlays ( ceiling beams ) spacing c . span
Roof rafters "K acing o • c - span -
acing "o . c . span t -
Roof trusses (pre-enginee d) spacing..,Of what material?
Exterior wall finish
Interior wall fini
If a garage is t e attached , describe materials to be used for FIRE SEPARATION :
elling? so will a Fire- rated
Is there to be an opening between garage and dw If
door , enclosure , and self-closing device be provided?
7 Height above roof ft .
Will a flue-lined chimney be installed • ft . g
Depth of chimney foundation below grade
Depth of fireplace hearth_ft . in .
Water supply - Municipal or private well ft
SEPTIC SYSTEM _ Distance from ANY private well (paiirr uornnewdjoining installation of
properties
septic system)
(A separate application is necessary for any rep I Town of Queensbury A F F I D A V 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
n�atall
provisions of the BUILDING CC7DE , THE ZONING ORDINANCE , and all other laws p g t
d with, whether specified or not , and that such work. is
the proposed work shall be complie
authorized by the owner .
natur y �� ` '^
SWORN TO BEFORE ME THIS Si g
Owner , owner ' agent , arcnxrectecontractor
day of 19�
Notary Public , Warren County , N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
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