1987-217 BUILDING PERMIT
TOWN OF QMUEENSBURY No_ $7-217
WARREN COUNTY, NEW YORK
C
C.
Bryan Webb
RMISSION is hereby granted to
OWNER of property located at 17 Mlchael ' s drive Street, Road or Ave.
Foundation only for two car att , garage
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.
f_A
F2C0NTRR:ACT10Fl
WNEOdress is 17 Michael ' s Drive V
Queensbury , New York 12801 ry
o"
w
ro
or BUI LDERS Name
Raymond Adams U'
td
�t
C
r4. ARCHITECTOS
NTRAGTOR or BUlL'IER 5 Address no
7 Cottage Rill Road
Queensbury , New York 12801
Name
[A]HITECT'S Address
0
E of Construction — (Please indicate by X)
I Iwood Frame i ) Masonry ( I steelLANS and Specifications 'n
D
No. 26 ' x26 ' frostwall and slab only per plot and application n
a+
rt
B. Proposed Use
Frostwall and slab for two-car attached garage
m
10 . 00 Dec . 1 fg 87 w
$ PERMIT FEE PAID - THIS PERMIT EXPIRES n
m
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the pp
town of Queensbury before the expiration date.) [9
6th May 19 $7
Dated at the Town of Queensbury this „ Day of
SIGNED BY !.L • for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY SLDG . DEPT .
�] f/ Application No .
,!orate O Cl¢kIZ 1i7Lr►' Permit Issued 19 r?F .,, ;aF� '►"+
!¢ I rr�v� l .
eUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R. D, 1 Box 98 Zoning Designation LLD
Oueensbury, New York 12801 Variance No . I �^�p
Site Plan Revie APB{ Z p d }987
D Ic/ 6r Approved by : 4
BUILDING 8c G��DE DEPT.
APPLICATION FOR le Id . Cj 1 r-cr
BUILDING AND ZONING PERMIT s _ _
A PERMIT MIDST 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 :
P . O . Address : 1 ` Tel
Property Location : 1 7 M ; c�h4wIs kr% y7a GW4C �' Af � S Tax Map No ���/Y�/�
Street number or building lot number
Subdivision name ( if applicable) Sj0y64Lr &Z Ae
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODESI.S :
l
Name ,� P . O. Address f Tel . No .
Name of builder
.r .. .J{ � j4m S Address '7 C ff a �i�l D '&erg Tel . '7I� 3L-^ - el ?
I
Name of plumber Address Tel .
Name of mason 11'1 „ Address { 7 r+ i v Y __Tel .
ATURE 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
* of water supply and location and configuration
- r1I��L * of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW .
Size of property / M5 ft X c ft .
Existing building ( s) Size ft X{ ft .
*
PROPOSED BUILDING AND USE : * Existing buildings ) Use
Size of new structure ��ft X��ft
Foundation-pier/ l�a crawl/partial/full * :Proposed building , distance from property line
circle one )
. Front yard 1 ft Rear yard ft
No . of stories (habitable space) Side yards ft and ft
Height ( grade to ridge ) ft . * If on corner , setbackfrom side street ft
If residential , no . of families
No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION
*
No . of bedrooms PRIMARY BUILDING -
No . of bathrooms * 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?
_Business
BUILDING STYLE,. PRIMARY STRUCTURE * Industrial
� Other
Ranch Contemporary Log cabin if addition , what will use be?
Raised ranch Mansion Duplex
Split level Old style Bungalow
Cape Cod Cottage Other ACCESSORY BUILDING-
Colonial Row Town House e�((;tached garage/one ca "%� t�wo car car
( CIRCLE ONE PLEASE ) * Attached garage/cone car/ '� car
Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION C?4
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 .
Will any second-hand or ungraded lumber be used? If so , for what ?
Foundation wall material efnk xSF Thickness
Depth of foundation below grade (to bottom of footin ) !4 *K
Will there be a cellar?_ 40 Heated or unheated? Oelhe Floor sq . footage �7 sq £t
Will there be a basement? Nr6 Will any portion be used as living space? iJ [s
( If so , what portion? sg . ft . - - Type of use? �'nC'1'
Type of roof - sloped/flat/shed/other Material of roof 14
Size , wood studs "' X spacing '"o . c . length ft .
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 ) "X '" spacing of span ft.
Roof rafters FIX '" spacing o . c . 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 used 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 he provided?
Will a flue-lined chimney be installed? Height above roof 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 Queensbury
County of warren A F F I D A V I T STATE OF NEW YORK
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
authl !zed by the owner .
SWORN BEFORE ME THIS Signature : __
-Owrier�r ' s agent , arcnicect , contractor �
c3 o f 19
N6 ary Public Warren County, N . Y .
SPECIAL CONDITIO OF THE PERMIT :
WQueen -jl - ,v
BUILDING and ZONING DEPARTMENT
Bay and Haviiand Road, R.D. 1 Box 98
,Queensbury. New York 12a0l
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Permit No . S-J -A13-
Date
* +• * * * * * * * *j/* * APPROVED - Y No
fnoting/Pier Forms
oundation
waterproofing
,3kackfIII
Framing
Roofing
siding
Masonry veneer
Rough plumbing
Relief valVes
Ext . Porches
Finished Floors
interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
I'lbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL k:LECTRTCAL TNSPECTION ,�
DRIVFwAY APPROVAL��—
Final Building Survey
Next scheduled inspection (call when ready )
Rema� Y � � � I .
lei r �>
Building nspector
6/86 and-vl
E� aA)
AJO
17
i •+
UAA
n
1
J
LS
r74,
CA
f4
— s {
j}{ F
,•� lope ��{