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1987-290 BUILDING PERMIT TOWN OF QUEENSBURY No. $7-290 Ac r 1� WARREN COUNTY, NEW YC1RK PERMISSION is hereby granted to Don Bodenhorn OWNER of property located at L` Pine Tree Lane , Assembly Point Street, Road or Ave g in the Town of Queensbury, To Construct or place a Addition to dwelling ( screen porch) o at the above location in accordance to application together with plot plans and other information hereto filed and m approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0 H 1 . OVVNE WS Address is Box 1320 RR #1 Lake George , New York 12845 2. CONTRACTOR or BUILDER'S Name Bill LaPlanche 3. CONTRACTOR or BUILDER'S Address H. Box 1595 South Bay- ,­3 Fort Ann , NY ro m 4. ARCHITECT'S Name C Gu M m 5. ARCHITECT'S Address m rlr * C S. TYPE of Construction — (Please indicate by X) a w { ) Wood Frame { ) Masonry { ) Steel ( ) rT 7. PLANS and Specifications No. 15 ' xl5 ' per plot , specifications and application a S. Proposed Use p a One-Family Dwelling ( screen porch added) ~ rn � n 0 H p ro m rr � o Pro $ 10 , 00 PERMIT FEE PAID --- THIS PERMIT EXPIRES Dec . 1 19 87 {If a longer period is required an application for an extension must be made to t h a Building and Zoning inspector of the eH'a ice-+ town of Clueensbury before The expiration date,) ::;a F" ac Dated at the Town of Queensbury this � 28th Day of May '19 87 - SIGNED BY 2?2q a for the Town of Queensbury Building and Zoning Inspector Ow TOWN OF QUEENSBURY (space inside block %co dxs fMcd in b. WARREN COUNTY* NEW YORK Building Inspcco4w) Application for IN-r ;,ri,�1%su �ca, I9 BUILDIN6 AND IONIN6 PERMIT i� al, � l Expires _ Itr THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale \111ir( k% gLA Iw showin++�� the actual dimensions of the lot to be built It4•1r,,� r}ri upon, The exact size. and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. -rc)wnt O� A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWIN . MAY IG S The undersigned hereby applies for a permit to do the following work $UILDING CO �/, pEPT which will be done in accordance with the description, plans and spacifi- � c y cations, and such special conditions as mayr be indicated on the permit. f ` ' owrwr of this property is: / �f(� d g`" cr r '#1 h n - /0 ,�f a. AV!'. '.'". ./,.-?�v.�!' / h�.'L. '�'. • (.Jy. I NA .'cl DR ES51 .. . . . . . . . . - . The person reWonsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply i,: r ,.{�A h i�. . . . �� . . . . . . - 9 . . _ . . . . . . , . iNAM / . . . fP 4 A'ff DRE551 ' . � . ,rJ ` /'1 �L .c 1 .�.Q' H tea?. /i .P . Address /J. !?'I'- . ,�.5` '�S�' .',� v .. -f- •h' ./I� i+-�.r'.� /�2'' y' /f �`7 n , Name of Builder . - - . ! . . . . . . • , . . . . . . , . . . . . , . . . . . . . . . / . . . Na��_m�__e-—o-f-�'�ntber-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . - . - . . . - . . . . . . . . amttT a of . . . . . . . . . . . . . . d d d d Address . . . . . . . . . . . . . . . . . . - - . - Lot Number . . . . . . . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work $ . .I.. �.$ ''- ', .'� . . . . . . . . . . . . . . . . . . Name of Village . s e . . � . ��i!. . . �a a ra.-77. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I1 Name of Street .";V. • ttl!�� � . . . . . . !�`". '". .�. . . . . Side of street; north .Q; east I3 , south 0 . west p Nearest Cross StriV t . //V ! ' t„. .� ' ,G o(� Ae, /. .t r, -,c - Distance froom this cross street . . . . . . . . . . . . . . . Ft . Property is north ❑ , south 0 . east L7r west E31rom Cross Street If on Corner, which corner, northeast V , northwest 0 , southeast 0 . southwest (Designate by marking with an "X" in the correct space_) NATURE OF PROPOSED WORK OCCUPANCY 0 Construction of a new building. s r Main Btalalding Addition to a building. 5�' f e " " (�' '�`'� One-family dwelling O Alteration to a building. Two-family dwelling D Demolition of a building. family apartment house Stare building, � - . . . • , - - -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . , . . Accessory Building One-car detached garage © Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . , . Two-car detached garage Private chicken house LJ r'� . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . _ . . . Private storage building ri Other: . . . _ . . . . . . . P , . . ' ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. Indicate on the plot plan street names, the location and size of the property, the location, size and setbacks of pro- NORTH posed buildings, and the locatic;n of all existing buildings. Show proposed building(s) in dotted line and existing y huilding(s) in solid line. ` Size of property . . . . . . . . . . . . . . . ft. x . . . , . . . . . . . . ft. .1 Size and use of existing buildings, if any . . . . , , . . . . . t ,tile" 130Jo �, . { � ru Size of proposed building . , f{, � f ft. X !°�� . � . . . . ft. qHeight ( from grade to ridge) .3. . . . . . . . . . . . . . ft. �[ 1,1 Z Front yard . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . . . . . , . . . . . . . . . ft. and . ft. Rear yard . - • . . . . . . . . A . . . . . . . . . . . . . . . . . . ft. so ur H a If on corner, setback from side street . . . . . . . . . . . . . ` Note: All distances are net, as measured from street side line to nearest pare of building. ry * -Or `r .0 TTo v K F0 14 I f '- (cont'd. ) BUILDING SPE+CIFICATIONS4 _,/� Kind of construction_ Wood frame, fire safe, etc.? . . . - �' u -`' . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . ! .i . , . } If so, For what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . �'41/. . .7�y ' ?{� YIP •, ' .f. . Cf .r .� , , , , , , , , , , , , , Thickness . . . . . - . , . . . . . . _ . - . . - . Depth of Foundation walls below grade �. . + S - D ° C a ton. . . . . . . Will there be a cellar? - �? Gt . . . . . . . so, material of cellar floor . . . . . . . . . . . . . _ , . Type of roof: Sloped or flat? . .� 'r - . . Material of roof . . . A'S. S. . . .`y �. . . Size, wood studs . . . . . . . . . . . . .p . . . . . " x . . spacing . . . . . - . . , . "O.c., length . fx. . . - 4.005r Size, floor beams, 1st Floor . . . . " x . . . . , / ,tG . . . . . . ", spacing . . . . /, . wu'. . . . . . o,c., span . , , . /. ,�- - - - - - ft. Size, Floor beams, 2nd Floor . . . . . . - x spacing . . . . . yy. "o.c., span . . . . . . . . . . . . . . ft, Size, ceiling beams - - . . . . . . . . . . °� . " x . `fi . . , . . spacing o A � "o_c_, span . . . . .� _ . . . . . . ft. Size, roof rafters or beams _ . _ . _ x . . ", spacing . . . . . / . G . . . . "o.c., span . . . ft. Exterior finish ��'". �A? ' . . , . . r r '� . . ' .� �Y - . With what material ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . ' . '. . ! + .+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main buU4ing to be Constructed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? - . , - . . . . . . . . , . . . - . , . . , . . , . Kind of heating system . , , . . , . . . .----` - - . . . • • d . . d Oil burner or coal? . . . . . . Will a flue-lined chimney be provided? . . . : . . . . . , . Depth of chimney foundation below grade . . ; .—, , . . . . . . . . . Height of chimney above roof. . . ---- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . : . . :"k S . . . Depth of fireplace hearth - - . , - . , . . , , . , , . . . . . . . . . . . . . . . . Will a toilet be installed? . Z : Z' -�-.� • Will a kitchen sink he installed and connected to water supply? —' -: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply ( public water supply or pump) . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . ; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to it my knowledge and belief the statements oontained in this application, together with the plans and specirmations sub- mitted, are a true and oau.,. fete statement of all proposed work to be done on the described premises and that a provisions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the propo work n be comldied with wheettheerr specWwd or not, and that such work is authorized by the owner. _ Sworn to before me this Signature � � ° AGE _ _ OWNL=R, OWNER'S AGENT, ARCHITECT CON ATTO day of . . . �:�. +/�. . .. . . .. . .. . . . 19 *F NOTARY PUBLIC- WARREN COUNTY, N. Y, SPECIAL CONDITIONS OF THE PERMIT: Hy . �� JpWre of Queen il " ry �-- 13U11_OING and ZONING OEPARTMENT Bay and Hawifand Road, R,L]_ 1 Box 98 Queensbury. New `fork 12801 OeTc,5 !�'t l3LY tG� erv� BUILDING INSPECTOR ' S REPORT NAME LOCATION 7:> I3at _ Permit Nod APPROVED - YES NO Footing/pier Forms Foundation WaterPrOc>fin Backfill Framing Roofing Siding Masonry Veneer Bough Plumbing Relief Valves 7Ex.t , Porches Finished Floors Interior Trim Stairs & Railings cellar Drain Tile Concrete Floors Pibg . Fixtures Gar . r ireproofi Door Closers Smoke DetectO chimney SNSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION �RIVEWAY APP'ROVAI,. inal Building Survey Next scheduled inspection Ccall When /ready Remarks_ r�� F2 C' tic� f „4� bb i r n! Building nspector 6/86 and-vl + U1LDING and ZONING DEPARTMENT � r ay and Waviland Road, R.D. 1 Box 98 +Queensbury, New York 12801 4F2T� 1 ,, L�J � YN�C T � S } NAME �d✓ c G1�. l' "'' , y'3G% ' TGiZ�-r' ,G' � LOCATION ,lGJ f tip Date_-�r « * * + APPROVED - YES NC? Footing/pier Forms Foundation Waterproofing _ S�ac�fill L.-.}"ramp.ng Roofing Siding Masonry veneer Rough Plumbing Relief Valves Valves --- Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Frain Tile Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION _ DRIVEWAY A ROYAL Final Bull ing Suryey� Next scheduled inspection (call when ready) Rema r'I 1suild ng Inspector 6/86 and-vl �lpWl►� p� �uppry� gC+faR /'� BUILDING and ZONING DEPARTMENT Say and Haviland Road. R.D. 1 gox 98 ©Ueensbury, New York 12801 BUILDING INSPECTORf5 rrREPORT NAME LOCATION 4e /- � c 4e. p o p rmkt Now Date APPROVED - YES NO �ootingfPier Forms ounda,tian ,I�at,,erproof ing Backfill Framing Roof ing Siding Masonry veneer Rough. Plumbing Relief Valves Ext . Porches Finished F100rs Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers smoke Detectors ChimneY IN SuLATION Foundation Floors walls Ce i 1 ing --- FINAL ELECTRICAL INSPECTION DRIVEWAY AFPROV Final Building Surve9�- -� 13ext scheduled inspection (call when read Remarks- 04 J 'W.�e olv ,,rr � � v - / Building Inspector 6/86 and-vl f f eil, &cch A 8 /' j ; � am� _J'own ©1 Quivenil ury BUILDING and ZONING DEPARTMENT Bay and Maviland Road, R. D- 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /� ot) 136 e J2 Oe n 'ass le y- f + LOCAT 10N �! ►1 � +�" "° a ! CG y�.=s - 'NU Date ' , fc _ Permit No . ? g:s ✓ = APPROVED - YES NO Footingf��ei � Forms Foundation Waterproofing Sackfill 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 INSUTATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready Remarks- e7o#fe Pt Building Inspector 6/86 and-vl