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1987-197 BUILDING PERMIT TOWN OF QUEENSBURY $ 7-197 WARREN COUNTY, NEW YQRK No. PERMISSION is hereby granted to Maureen Stannard rY rc OWNER of property located at 1 fD Walt Mountain Road. � Street, Road or Ave. rr rt in the Town of Queensbury, To Construct or place a Two—Car Attached Garage /Breezeway w at the above location in accordance to application together with plot plans and other information hereto filed and w approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. a. EARCHITECT'S dress is RR #5 Box 306 Queensbury , New 'cork 12801 R or BUILDER'S Name ro oa same r„r 0 R or BUILpER S Address rt W Same S Name Address 6. TYPE of Construction — {Please indicate by X} fX l wood Frame ( } Masonry { ) Steel { } 7, PLANS and Specifications No_ 24 ' x36 ' per plot plan , specifications and application submitted . 8. Proposed Use o One-FamilyDwelling I g { two-ear attached garage and breezeway added} � n a r, w $ 10 . 00 n PERMIT FEE PAID - THIS PERMIT EXPIRES November ]. 79 $ 7 m (if a longer period is ry b0fo a application for to extension must be made to the Buildi town of oueensbury before the expiration date.? rt9 and Zoning inspector of the W �i Dated at the Town of QUeensbury this 24th Day of _ April m 19 87 0 ar r SIGNED BY P4 f Building and Zuni or the Town of Queensbury 1° �`g 1 nspector fD su `-C TO BE COMPLETED BY BLDG . DEPT . r TOAIVN OF QUEE; J` B� ;r=-{ _JOtf�n o ieeett361tI AEI lit It No . BUILDING and ZONING DEPARTMENT Permit ssued lg Lilf i,I Permit Expires 19 APR 2 2 Bay and Haviland Road, . p. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . -- BU1LDfN & CODE DEPT. Site Plan Revi ma r i1 i ,I �} fiy;�C.�' �i Imo. � Approved by : f sa�-- ! G' c APPLICATION FOR BUILDING 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 P . O. Address 6? ' � '�C c am"+ ] � ..�/ C, '+�. • ti. Tel . Property Location : g -Y.y 5 K 3d ' Tax Map No . Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : C]w y4 T-4.. Name I P . O. Address Tel . No . Name of builder .JSCI ,4r Address Tel Name of plumber ��� Address Tel . Name of mason }"` . ftf_ 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 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 , * x COMPLETE INFORMATION REQUIRED BELOW . * Size Of ,Property_/�ft X /�.2'C ft . Existing building ( s ) Size_- ft X-eft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size Of new structure ft X�34 ft Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line ( circle one ) NO . of stories p * Front yard R" (,( ft Rear yard(habitable s ac y 6.5 ft Height ( grade to ridge ) ft . * Side yards '7 ft and ft If residential , no . of family s f * if on corner , setback from side street ft No . Of rooms ( excluding baths ) * OCCUPANCY INFORMATION Noe of bedrooms No . of bathrooms _ * PRIMARY BUILDING - Primary heating system � } L , * One family dwelling Type of fuel L"� * Two family dwelling No . of fireplaces to be installed .--^^* * Multiple dwelling / Number of units Will a wood stove be installed.?M �� * Permanent occupancy Central Air conditioning? x Transient occupancy Business BUILDING STYLE„ PRIMARY STRUCTURE * Industrial nc Contemporary Log cabin * Other ised ranch Mansion Duplex * If addition , what will use be? Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car { CIRCLE ONE PLEASE } * &w" Attached garage/one car/ wo c / car Priva torage building CONSTRUCTION MARKETVALUE OF - - - _ - _ - * Other y--3� COSTRUCT20N x. � INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEETr TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUES] BUILDING SPECIFICATIONS : ,Type of construction , wood frame , fire safe etc . f or or what? Will any second-hand or ungraded lumber be used? If so , tJ Foundation wall material L1C Thickness Depth of foundation below rade ( to bottom of foot ' ng ) Will there be a cellar? S3eated or unheated? Floor sq. footage s3�� sq ft Will there be a basement? Will any portion be u ed as livin space? ( 2f so , what portion? utr- . ft . - - Type use? d0 �'1r1 Type of roof - sloped/'fla �y/she d/other terial of ro size , wood studs r„X. C_,.) rr spa g rr rr . C . �..Ei1g tI7 £t . .joists ( floor beams ) 1st .—floor _ iS�_n— X spacing tu r o . c span �' ft , Joists ( floor beams) 2nd . floor " X „ s cing "o . c . span ft . overlays ( ceiling beams ) �X spacing "o , c . spanft . Roof rafters +4/� "x " spacing o . c . spate f Roof trusses (P—r'��engineered) spacings " a . c . span ft . Exterior wall finish of what material? Interior wall finish If a gar a ris to be attached , d scrib materials to be used for FIRE SEPARATION : � ' � If so will a .Fire rated Is there to be a opening between garage and. dwelling" door , enclosure , and self-closing device b rovi.ded? Will a flue-lined chimney be installed'? Height above roof ft , Depth of chimney foundation flow grade ft , Depth of fireplace hearth ft . in , Water supply - Municipal or rivate well SEPTIC SYSTEM _ Distance from ANY private 11 { including adjoining properties ft . (A separate application is necessary for any repair or new installation of septi system) Town of Queensbury n F F I D A V I T STATE OF NEW YORK County of Warren 11 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 Signature ---------- r , owner ' s agent , arcni-cect, contractor day of 19 Notary Public , Warren County , N . Y . * * * * * * IF * * * * * * * * * * * * * * * * * * * * * * IF * * * * * * * * * * * * at SPECIAL CONDITIONS of THE PERMIT : BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R, D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME C C/ if Ae�i z LOCATION r/ /y174` 100 DateA�f�c ? Permit~NO . ✓ = APPROVED - YES NO ootingJPier Forms oundation terproofing SackfiII Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors 'a Interior Trim_ Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers• Smoke Detectors chimney INSULATION . Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- _ Building Inspector 6/86 and-vl Vr BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Sox 98 Queensbury, New York 12801 BUIiLDING INSPECTOR ' S REPORT NAME r� LOCATION "le Date 5 $� / $� Permit No . \ /� ✓ = APPROVED - YES NO ,7Ioting/Fier Forms Y Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSUI.ATI ON = Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready Remarks- / Building n pector 6/86 and-vl NE BUILDING DEFT. OF APPLICATION FORM 46-1 RE W YORK BOARD OF FIRE UNDERWRITERS- Copy ] FILE T114IS COPY VVITFI BUILDING DEPT. WHEN OiLFIRE[3. TEMP. 9i DATE G COUNTY CITY OR TpWNSHLP .:'" VILLAGE '" .! POLE ND. 5TREET AND Nd. OR "" zi `'�- � -- ;. t BL K LOT F s ROAD AND POLE Nd. 4 f BETWEEN WHAT TWO //� �f PREMISFTRE�A7ETJ? '6._.-` G'L ' ! '+e- C..•� -yy fi■ BUILDING OCCUPANT'S TEL. NAME. OWNERS NAME . -*f::z _ OF FfCE AND ADDRESS FROM THEIR +-+ ' C { t E - DEFECTS BYppt7£O J. _ VYORx rr----�1 REMOVED 'L_1 �--�, �r�' kS NEW �ppDYTIONAL LJ SUILDING NEW O OLD L�"� , 15 LIST BELOW ALL EQISIPMEI�IT WHICH YOU 1PSSTALLECI BR C�.I.II" OF Fl C£ USE Rre tueptaetei MOTORS HEATERS CI ONLY LAW NUMBER OF OUTLETSom" A.W.G. INSPECTIONH.P : Hon Side ArLoW Switch Pandartt Brae'krt E ach No. Gruga Na Type Each No' Cailiny Wall Recap is OaM1- side Sufr 4asa BpF Trot 1st Fl. 2nd Fl- 3rd Fl. DO NOT USE THIS SPACE. REµIsI LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: n 1 r ent, as Provided by the applicant. l ication is intended to colder the ahove-7isxad erquipmenx to be inspected but if at timer of impacrion there is toured additions? equipment not chow ist This apP TOTAL eotipn and adjust the to curer ahe additional E LECTRIC S7GN W ATYS you are authorized to make the ' LAMPS 512E OF FEEDERS VA MAINS CONCEALED ED GAS TUBE SIGN OF CONCEALED TRANSFORµERS iCAPAC7TYy CHARACTER [NUMBER) OF WORK SIZE OF SIGN WORK TO BE COMPLETED STARTED U OF SIGN NDERGROUND MAKER SERVICE OVERHEAD ENTERS 1 DING NSW L�1 1 4 r:cTION REOUESTED RNED- t" O SAS NEAR AS POSS. AS AVOID DELAY BY GIVING FULL AND ACCURATEFIYFORMATYON L.- AL St+ACES MUST BE FILLED IN OR API'1-ICAT�N MAY BE REYL AE OF PRINT NAME AND ADDRESS APPLICATIONr NAME OF L7 - 1..+1 C-z `1' Ta t--} "t i -s ^•�- .LJ APPLICANT // r '' - TELEPHONE # ,A LICENSE NO. STREET ADDRESS � � VI EN APPLICABLE ,.�'`'' /r._.� �^{ _ CODE -----_. CITY OR { k ♦ rti t ; �' POST OFFICE �-" ac E, tn£w. ,xasy A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 1 P- 19 ( 7 / 86 )