1987-291 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-291
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Owen and Phyllis Monroe
OWNER of property located at _ 1 John St Road Street, Road or Ave.
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Addition to dwelling (sundeck) ti
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 c
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. F~.
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F3. CONTR
ER'S Address is RD #2 Box 284 0
Queensbury , New York 12801 �
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NTRACTOR or BUI LDERS Name same
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ACTOR or BUILDERS Address same
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4. ARCHITECT'S Name zc
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5. ARCHITECT'S Address
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F6TY7PEc1 Construction — 'Piease indicate by X) A}
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7d Wood Frame { ) Masonry { I 'Steel i }
7. PLANS and Specifications
No. 10 ' x12 ' per plot plan , specifications and application
8. Proposed Use
One-Family Dwelling ( sundeck added)
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$ 10 . C}0 PERMIT FEE PAID} THIS PERMIT EXPIRES December l 19 87 0
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(if a longer period is required an application for an extension must be made to tfie Building and Zoning inspector of the :4
town of Queensbury before the expiration date.) R'
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Dated at the Town of Queensbury this 28th Day of May 19 87 0
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SIGNED BY ��[ /� - ^✓ for the Town of Queensbury
Building and Zoning Inspector r-L
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TO BE COMPLETED BY BLDG . DEPT .
Application Na .
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_ Jpwn D� lle['1t x /�Ill't� Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 ' 43UlI .C3fNG & GC7I]E DEPT.
Say and Hawiland Road, P. D. 1 Box 98 Zoning Designation '
oueensbury. New York 12801 variance No .
Site Plan Review N . I / "I t -� - 16. 3a Approved bVo
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 clone in accordance with the description , plans and specifications submitted, and such
special conditions as may be indicated on the Permit .
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n The owner of this 1property is : C. .G.c) ----`_----------
P . O . Address
Property Location : 1 �'ea /t r Li � 7- �T, Tax Map No .
Street number or building lot number
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THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
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Name P . O. Address Tel . No .
X Name of builder r1�W Q tD !J Pa ,Address AMP AS AAoaueL
Tel . SA A4
Name off- Address Tel .
Name of 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 ,
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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
FOR DEMOLITION PERMIT , STATE: SI D * of water supply and location and configuration
L OF STRUCTURES ED - * of septic disposal area .
* COMPLETE INFORMATION REQUIRED BELOW .
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Size of property �() f ft X ( ft .
Existing bu�i^ylding ( s) Size 2. " ft X ft .}
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PROPOSED BUILDING AND USE : r
Existing buildings ) Use
Size of new structure ft X_L2�ft
FoundationeE �/slab/crawl/partial/full * Proposed building , distance from property lime
(circle one ) Front yard Q _ft Rear yard Z 7 v1 ft
No * of st ies (habitable space ) ft and QCae�-ft
* Side yards / �a
Height ( gra to ridge) ft . * If on corner , setback from side street ft
if residential , D . of f dies
No . of rooms ( exc ing aths ) * OCCUPANCY INFORMATION
No . of bedrooms PRIMARY BUILDING -
No . of bathrooms * �f]ne family dwelling
Primary heating stem * Two family dwelling
Type of fuel- * Multiple dwelling / Number of units
No . of fir aces to be insta ed x Permanent occupancy
Will a d stove be installed?
--- �, Transient occupancy
Cent Air conditioning? Business
*
BUILDING STYLE, PRIMARY STRUCTURE Industrial
* Other
Ranch Contemporary Log cabin If addition , what will use bed
Raised ranch Mansion Duplex
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 ) * Attached garage/one car/ two car/ car
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_private storage bu-ild3.119
ESTIMATED .MARKET VALUE OF * ,Othery l^s �- U rz)
CONSTRUCTION, �
INFORMATION ON BUILDI SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED !
Form BPA 4/86 and-vl
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , Tin fire safe , etc .
Wil ungraded lumber be u
Foundation wall material �c]�rC.�R + Thickness
Depth of foundation below grade {to bottom o£ footing ) .. Zr . _
�I3eated or unheated? Floor sq. footage s ft
Will Will any portion be used as living space? q
- - Type of use?
Type other Material of roof
spacing "o . c . length ft.
J "3 it spacing "a . c . span ft .
Its-F � er� ••X " spacing ,Io . c . span ft .
G7 IIx I, spacing "o ,O . C . span ft.
.r span ft .
Roo' � � "' �t y ' Iao - ^acing f'o . c . span ft .
rinish Of what material ?
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If a garage is to be attached , de a materials to be used for FIRE SEPARATION :
Is there to be an open! etween garage and dwelling? If so will a Fire-ra
door , enclosure , a self-closing device be prop
Will a flue-1I chimney be installed? -- '"' height alcove roof ft .
Depth of c ey foundation below ft .
Depth !replace hearth !n .
Wat supply - Municipal private well
TIC SYSTEM _ Dis a from ANY private well ( in ing adjoining properties fto
(A separate application is necessary for an air or new installation of septic system)
Town of Queensbury T1 1
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County of Warren ►4 F F I D A I T STATE OF NEW YORK
I swear that to the best of my knowledge and belief the statements contained
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application , together with the plans and specifications submitted , are a true and
statement f all proposed work to be done - on the described premises and that all
o s of the UII.DING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
po ed work shall be complied with, whether specified or not , and that such work is
ze by th owner .
BE O ME THIS /Slgnature _( .Q+t E f
Owner , owner ' s agent , a chxre , contractor
day 19 ic , rren County, N . Y .
* * * * * * * * * * * * * * * *CONDITION OF THE PERMIT ;
�,fotvn of QuQen slurry
BUILDING and ZC)NtNG DEPARTMENT
Bay ouee sb New York Ne York} 98
and Haviland Road, 12801
BUIiLDING INSPECTOR ' S REPORT
NAME (jrr t� t? jr
LOCATION
Date c Perznit rIa .
* * * * * * * * * * *APPRQVEi YES NO
* * APPROVED
Footing/Fier Forms �._.�----
Foundation
w a,to rproo f in4g
Sackfill
Framing
Roofing
S iding .�--
Masonry Veneer
Rough Plumbing �.
Relief Valves
Ext , porches
Finished Floors
Interior `Prim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Flbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION -
Foundation
Floors
Walls
Ceiling �—
FINAL ELECTRICAL INSPECTION__--
�17Knal
VEWAY APPROVAL
i BuildingS,uruey
ection (call when ready
Next scheduled insp
Remarks-
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Building Inspector
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ADDITIONS / REVISIONS
THE USE OF THESE PLANS FOR CONSTRUCTION OR ANY OTHER PURPOSE WITHOUT WRITTEN PFRMJSStON FROM PROFESSIONAL BUILDING SYSTEMS INC. IS PROHIBITED.
DO NOT SCALE THESE DRAWINGS. THEY MAY NOT BE TO EXACT SCALE. USE ONLY THE DIMENSIONS SHOWN,
OWNER AND CONTRACTORS. SHALL: CONSULT APPLICABLE BUILDINGCODES TO -INSURE THAT PLANS AND DETAILS CONFORM TO ALL REOL4REMENTS. THEY SHALL VERFY ALL DIMENSIONS BEFORE
PROCEEDING WITH CONSTRUCTION WORK AND SHALL NOTIFY PROFESSIONAL BUILDING SYSTEMS DRAFTING DEPARTMENT Of A -NY DISCREPANCIES BEFORE WORK IS PERFORMED.
PROFESSIONAL BLqLDING SYSTEMS SMALL NOT BE RESPONSIBLE FORAMY ADDfTtONAL CST OR STRUCTURAL P BLEMS RES TING FROM THE RO U� FAILURE TO FOLLOW THESE PLANS AND DETAILS.
SHEET
OF
PROFESSIONAL
B BUILDING SYSTEMS INC.
GLENS FALLS N.Y.
CUSTOM DESIGNED FOR:
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PRELIM By
B Y: FRAMING! BY,
BATE: I ATE
DRAWiNG NO. ORDER 140.