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1987-212 BUILDING PERMIT TOWN OF +QUEENSBURY No. 87- 212 WARREN COUNTY, NEW YQRK PERMISSION is hereby granted to Raymond Adams o 0 a. OWNER of property located at 7 Cottage Hill Road Street, Road or Ave. in the Town of Oueensbury, To Construct or place a Demolition of 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. t . OWNER'S Address is 7 Cottage Hill Road Queensbury , NY 12801 2_ CONTRACTOR or BUILDERS Name n 0 same rt rt W M t6 3. CONTRACTOR or SUiLDER'S Address F+- 4 4. ARCHITECT"S Name ¢ 5. ARCHITECT'S Address S. TYPE of Construction — (Please indicate by X1 ( ) Wood Frame ( ) Masonry ( ) Steel I l C7 m 7. PLANS and Specifications F3 15 ' x3O ' garage per application W No. rr F.. 0 8. Proposed Use 0 Demolition of garage 00 rt w $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Dec . 1 19 87 (if a longer period is required an appiication for an extension must be made to the Building and Zoning inspector of the town of O.ueensbury before the expiration date.) Dated at the Town of Queensbury this 5th Day of May 19 87 SIGNED BY `"� '� for the Town of 4ueensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . Application No . ,Jv[tlre oCeeer� �6tt►�t�t Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D- 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . i f q ,tom Site Plan Review APR 9 1987 ��'� / f 4 f " Approved by : BU[L.DI 7+G Bc CODE DEPT. APPLICATION FOR FU 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 be indicated on the Permit . --------------------------^--^-------__________...--- ....................... _________-- The owner of this property is ; �� Y+►S� e'L - �I ( ' 3 q �r / P . O. Address 7 � [jTc _ } �i €� +�/ SZf+�S FUG. Tel . Property Location : � { r10 11 Tax Map No . ref / Street number or building lot number Subdivision name ( if applicable) TH PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS : Name P . O . Addre s Tel . No . Name of builder Address Tel . Name of plumber Address Tel . Name of mason 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 number or lot number and indicate � jL^ IkI r whether interior or corner lot . show location w+ D * of water supply and location and configuration n of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of property ft X ft . Existing building ( s ) Size ft X ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure ft X ft Foundation-pier/slab/crawl/partial/full Proposed building, distance from property line ( circle one ) No . of stories (habitable space ) Front yard ft Rear yard ft side yards ft and ft Height ( grade to ridge ) ft If an corner , setback from side street ft If residential , no . of families Now of rooms ( excluding baths ) * OCCUPANCY INFORMATION No . of bedrooms PRIMARY BUILDING No . of bathrooms Primary heating system K One family dwelling Type of fuel Two family dwelling * Multiple dwelling / Number of units No . of fireplaces to be installed Will a wood stove be installed? x Permanent occupancy Central Air conditioning? Transient occupancy * Business BUILDING STYLE,, PRIMARY STRUCTURE x Industrial Ranch Contemporary Log cabin Other Raised ranch Mansion Duplex If addition , what will use be? Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BC7ILDING- Colonial Row Town House , . Detached garage/one Car/ t ca / car ( CIRCLE ONE PLEASE ) " Attached garage/one car/ two car/ car * * * * * * * * * * * * * + _Private storage building ESTIMATED MARKET VALUE OF Other 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 sa€e , 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 ) Will there: be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? 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 "X spacing "o . c . length ft . Joists ( floor beams ) lst . floor "X It spacing "o . c . span ft . JO ists ( floor beams ) 2nd . floor "X Of spacing "o . c . span ft . Overlays ( ceiling beams ) "X spacing '"o . c . span ft . Roof rafters "X No 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-71 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 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 provisiorl„s of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the prop sed work shall be complied with, whether specified or not , and that such work is authorize by the owner . + / � SWORN TO B ORE ME HIS Signatur �] '� _ Owner , owner ' s agent , arcnrtect , contractor day 19 Notary lic , W rren County , N. Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : By-- --------------- -------------------- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (528) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION ,RECEIVED NAME "- LOCATION DATE S- I ' �{�_ PERMIT # APPROVED Q� �c YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/ AM -PROOFING BACKFILL APX;A PAL - ROUGH PLUMBI FRAMING ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEP - STAIRS-CLEARANCE & RA S PLUMBING FIXTURES/REL-t VALVE INTERIOR TRIM/PRIVACY" D RS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CO STRUCTION A SIGNED CERTIFICATE OF OCCUPANCY T BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : INSPECTOR