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1987-180 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-180 WARREN COUNTY, NEW YORK LP PERMISSION is hereby granted to Stanton Satease l � Merritt Road Street, Road or Ave_ � OWNER of property located at r in the Town of Queensbury, To Construct or place a ShoprGarage 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- w ro w 1 . OWNER'S Address is RRi' 4 su Queensbury , Ny 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER 'S Address ra Same "li e-r 4. ARCHITECT'S Name p s�. rRCHITECT'S Address YPE of Construction — {Please indicate by X} (}L ) Wood Frame I } Masonry f } Steel f } cn 7. PLANS and Specifications 'rJ No. 4$ ' x24 ' per plot plan , specifications and application submitted . w cu cCr B. Proposed Use Shop /Garage $ 10600 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 19 87 (lf 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,) Dated at the Town of Queensbury this 20th Day of April 19 87 SIGNED BY for the Town of Queensbury Building and Zoning 1nspecl.ar TO BE COMPLETED BY BLDG . DEFT . TOWN OF QUIFFASE14JRY �I Application No . I "� L4 % I] VIL [0j oavn 0/ u eeni "ry Permit Issued 19 u � ❑ BUILDING and ZONING DEPARTMENT Permit Expires 19 � ��� � � �JpO� Bay and Haviland Road, R.D. 1 Box 98 zoning Designation Oueensbury, New York 12801 Variance No . BUILDING CODE DEPT. Site Plan Review No . Approved by APPLICATION FOR PUILDING 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 . ....................... ---s _-- The owner of this .,, !.... as M- POOO Address `r �^ } ►11 TZ o 6 CA, Tel . 79� Property Location : Tax Map No . / / Stree umber, or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORD AS REGARDS BUILDING CODES IS : Name P . O . Address Tel , No . Name of builder JX Address Tel . Name of plumber Address Tel . Name of mason Address Tel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : Construction of a new building x 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 e erior dimensions ) whether existing or proposed and indicate all OLhcr work (de ribe) * set-back dimensions from property lines . Give �� ' * street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLI ON PE To 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 22 � ft X ft . Existing building ( s) Size > t X� ft . Mr PROPOSED BUILDING AIVi3 USE : Existing building ( s ) Use Size of new structure 4ele ft X�ft Foundation-pier/ slab/crawl/partial/full Proposed building, distance from property line (circle one ) * s7 ft * Front yard > ft Rear yard 2 y No . of stories (habitable space Side yards 1(.1 €t and [ 2 ft Height ( grade to ridge ) ft . * If on corner , setback from side street ft if residential , now of families ' . No . of rooms ( excluding bath - * OCCUPANCY INFORMATION No . of bedrooms PR MARY BUILDING - No . of bathrooms Lk4ie family dwelling Primary heating syste * 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? _Business BUILDING STYLE, PRIMARY STRUCTURE _Industrial Ranc Contemporary Log cabin * adder If addition , what will use be? ise ranch yMansion Duplex 8p t level old style Bungalow Cape Cod Cottage Other '" ACCESSORY BUILDTNG- Colonial Row 'Town House * Z.,�ached garage/one car/ two i car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * +r + * * * * * * * * * * * * * _Private storage bull ing ESTIMATED MARKET VALPE OF * t- kser� i'� Ji�T'l ri ► +1 d' f1!"�7 d CONSTRUCTION $ v t 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 . l Will any second-hand or ungraded lumber be used? If so , for what ? OL Foundation wall material l Thickness Depth of foundation belowiary de ( to bottom of footing ) d{�, Will there be a cellar? ated or unheated? Floor sq. footage sq ft Will there be a basement? ) Will any portion be used as living space ?( I £ so , what port ' �---. s . ft . - - Type of use? Type of roof - sla �lat/shed/other Material of roof yr Size , wood studs lox _ leespacing "o . c . length ft . Joists ( floor beams ) l tr"door "x is spacing "o . c . span ft . Joists ( floo s) 2nd . floor "x to spacing "o . c . span ft . Overlays ( ceiling beams ) "x " spacing "o . c . span ft . Roof rafters "x " spacing a . span ft , Roof trusses (pre-engineered) spacing " o . c . span ft . / Exterior wall finish_ // C4 what material? Interior wail finish If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 44 Is there to he an opening between garage and dwell!ng? If $o will a Fire-rated door , enclosure , and self-closing device he Provided? Will a flue-lined chimney be installed? eight above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ftw in . r� Water supply - Municipal or private well. k''r,! '+ [� SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties � . (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 ry Warren County off War 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 ORDIN , 11 other laws pertaining to the proposed work shall be complied with, whet speci or not d that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signatu day of lg -- er , owner ' s agent , arcn.irect , contractor Notary Public , Warren County, N . Y . * * * * * * * * * * * * At * * * * * * * * * * * It * * * * * * * * * It SPECIAL CONDITIONS OF THE PERMIT : By flown Of Queen 41"rey SUII.DING and ZONING DEPARTMENT Box $8 gay and Haviland Road, R.D. pueensbury. New York 12801 5UILDINGG INSPECTOR ' S }REPORT NAME LOCATION / Permit NO —�- Date � � * * APPROVED - YES No Footing;/pier Forms Foundation Waterpraofing poackfill —�ramin9 Roofing siding Masanr'y Veneer Rough plumbing Relief Valves Ext . porches Finished Fladrs �-- =nterior Trtm stairs & Railings Cellar Drain Tile concrete Floors ply Fixtures Gar . Fireproofing Door Closers smoke ',Detectors ChimneY INSUT,ATIUN po undation Floors Walls Ceiling FINAL BL-SCTR,ICAL I13sPECTI0N�� DRIVEWAY APFROV rvey������ Final Building Next scheduled inspection Ccall when ready ) Resnarks� s ding Inspector F,/e6 and-vl J©tun cif QUvensburry ENT BUIL-DI 1G and ZONING OEPAAfIT$4x 9$ Say and Haviiand Raad, R-D. Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION � Permit I3ra , Dat �► * * * * « e NO APPROVED - too ting/pier Forms Foundation Waterproofing Ba+ckf i l l Framing Roofing Siding --- Masonry veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trisn Stairs & Railings Cellar Drain 'vile Concrete Floors I,lbg - Fixtures Gar . Fire-proofing Door Closers Smoke Detectors Chimney INSULATION - Foun da t ion Floors Walls Ceiling FINAIi Ir'LECTRICAL INSPECTI0I*7�, DRIVEWAY APPROVAL Final Building SurveY��- ,Next sclseduled inspection (call when ready ) Remarks- F3ui IN ing Inspector 6/86 and-vl _Jr3wxx 401 Q"eenjl ury gtllL01NG and Z0NING DEPART�ME 98 Bay and Havifand 'Road. MD. []ueensbury, New York 12801 BUI L[) I NG INSPECTOR ' S REPORT NAME LOCATION 6 } p / Kermit No . _,IJ�-. -�-"- * x * * * * * a APPROVED - YES NO Footing/pier ForinS Foundation waterproofing Backfill F ramirig Roof ing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim stairs & Railings Cellar twain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors ----..�"�- Chimney INSUI.ATICIN Foundation Floors walls Ceiling FYNI L > LECTRICAL If3SPEC"LS£7P3 DRIV FWAY APPROVAL Filial Building, SSurvey�� �- Next scheduled insp ection (call when ready ) Remarks'" A4et*'� ' D& Suilciiing Inspector 6/86 and-vi /����1 [ gEy1LT]ING and ZONING DEPARTMENT Bay and HaViland Road, R.D. I Qu sbu y, New York12801 9s BUILDING INSPECTOR ' S REPORT NAME LOCATION J11 2 rY^ t permit NO * o �APPROVED - YES NO t3�'"t�atineifF'� er Forms Foundation waterproofing Backfill Fram! Roofing siding Masonry Veneer Rough Plumbing Rielie€ Valves Ext . Porches Finished Flo4rs_ � Interior Trim�� Stairs & Railings Cellar Drain Tile concrete Floors plbg , Fixtures Gar _ Fireproofing_ Door Closers�_�_ Smoke Detectors Chimney INSL]T..ATION Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY ApPROVAI. Final Building Survey Next scheduled inspection Cca11 when ready) Remarks- All le Building Inspector 6fs's rnd-vl BUILDING DEPT. COPY OF APPLICATION FORM 464EL, NEW YORK BOARD OF FIRE UNDERWRITERS_ FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED, _ TEMP. CITY OR VILLAGE TOWNSHIP I �$STREET AND NO, OR `T7 � COUNTY ROAD AND POLE NO, f P NO. BETWEEN VMAT TWO r �� CROSS STREETS IS _ PREMfSEA LOC4TE07 'l `- - SECTION �>'� BLOCK 1, LOT `f OCCUPANT'S t . -- BUILDING fT - NAME /� OWNER'S NAME AND ADDRESS TEL. irf' SUPPLIED _ BY FROM THEIR [ ,t.. • . ° _ OFFICE BSUILOING NEW WORK y bEFECTS OLD IS NEW Q ADDITIONAL ❑ REMOVED 0 LIST BELOW ALL EfIUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Na of Fiahsres A BR/INCH Leer Lownp RwOF tadal MOTORS HEATERS C3RCIATS OFFICE USE ONLY eon Side Attseh•t GNlrno walr Rnpp'Is �+�+ paridant Bucket No- TYpa Beds Ne Eaelt Na AGw.G INSPECTION Out- Sub- bow mom mnrtf lot Fr. 2nd Ft. $rd FI. REMARKS,: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THlg SPACE, This aplrli"lion is intended YP Co",, the Ahura-lisped rquiptnent to be irtspeC[ad but i1 at titrre o1 i YOU are eudtorizod to make the inspaetion and adjust the fee to onset the additional rwrodmid bappau the p found .adixiensl eyuilananx net ahoee listed, SIZE O e4<siPrrrer'd, w Provided by the epplit:ant. MAINS F ELECTRIC SIGN TOTAL FEEDERS LAMtPS WATTS CHARACTER EXPOSED GAS TUBE SIGN CF WORK CONCEALED TRANSFORMERS OF VA RK TO BE STARTED (NUMBER) fCAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUNDENTERS MAKER 1 L ING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW O OLD AVOID DELAY By GIVING F L FA, ACCU TE INFO RMATION. ALL SPACES OATS OF MUSt BE FILLED IN DR LIC M ,,SE APPLICATION PRINT NAME AN I)'t1, - f, AP ' i.Ir-, n"� ,.,•,.... .,'� , r E OF SIGNATURE OFAPPLICA NT^ 'f '. �STREET ._.-�7-,M�••[ � �/} ADDRESS TELEPHONE CITY OR /'ffJ s.Y;1 r_.-. POST OFFICE ' fJ f ! T ✓r�f CODE IYNENNAAPPL ICABLE 45 EL (REV. 1/86) A SEPARATE APPLI ATI MU BE FILED FOR EACH SEPARATE BUILDING v ' ` i to 3 "a o Qt,