1987-320 BUILDING PERMIT
TOWN OF QUEENSBURY No 87-320
WARREN COUNTY, NEW YORK
FAA
PERMISSION is hereby granted to Marie Usher ro
OWNER of property located at 4 Morgan Drive Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Two—Car Detaches! 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.
1. OWNER'S Address is RD #2 Box 248A Morgan Drive .�-
Queensbury , New York 12801 0
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or SUILDER"5 Address
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4. ARCHITECT'S Name
6. ARCHITECT'S Address H
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6_ TYPE of Construction — IPlease indicate by Xy tj
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( Xi Wood Frame l ) Masonry I I Steel I I n
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7. PLANS and Specifications
No 24rx26r per plot plan , specifications and application Al
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8. Proposed Use
Two—Car Detached Garage
$ 10 - 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 1988
(It a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Ousensbury before the expiration dets.)
Dated at the Town of Queensbury this 4th Day ,of June 19 87
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SIGNED BY 291 a +�✓ " for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEPT ,,
/■ Application No .
tiuin o Qaeenjhurr� Permit Issued 19 TOWN OF C)UEENSBi
BUILDING and ZONING DEPARTMENT Permit Expires 19 n n„
Bay and Haviland Road, R. D. 1 Box 98 zoning Designation ' 1U! 11Y11
Queensbury, New York 12801 Variance No . �t1Fl [77
Site Plan Review No . #IrJ
Approved by
I UILDING a CC3De CMa:'"Ir:
Efff
APPLICATION FOR �/d
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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 is : 4),gi/I A)
P . O. Address 4cv�'P .A .e J x .24'm M6 k'A-'J !�' l e,tJIS F'A Cl S +tl - --Tel . 'q3 .5 Vb
Property Location : 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 :
Name P . O. Address Tel . No .
Name of builder '0 - Address Mto4 G O _ Tel .
Name of plumber Addressy Tel .
Name of mason V� .SN& 1r- g, Address %A vy,%., 09+ Tel .
NATURE OF PROPOSED WORK : ZONING INFORMATION :
Construction of a new building Ck\Ctk6t A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
_Addition to a building J" 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
FOR DEMOLITION PERMITr STATE 'SIZE AND of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED ,
of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW .
Size of property r ft X
Existing building ( s) Size. -�, ft x 3 • 'A ft .
PROPOSED BUILDING AND USE : Existing building ( s ) Use ` %\0W44 %;
Size of new struc_tgre ft }X1 G. ft
Foundation-pier ab crawl/partial/full Proposed building, distance from property line
( circle one )
Front yard '�1� 0 ft Rear yard � �1 fft
He . of stories (habitable space ) Side yards 'ksr' 3"��� ft and 1 10 ft
Height ( grade to ridge ) �1r+S ft If residential , no . of families If on corner , setback from side street ft
No . of rooms ( excluding baths ) OCCUPANCY INFORMATICN
No . of bedrooms
Now of bathrooms PRIMARY BUILDING
Primary heating system 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 * Industrial
Ranch Contemporary Log cabin Other
Raised ranch Mansion Duplex * If addition , what will use be .
Split level Old style alow
Cape Cod Cottage her KG'; ACCESSORY BUILDING-
Colonial Row Town House * 25.Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/ car
* * * * * * * * k * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * 'Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONSr ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI
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 ? tJTJ
Foundation wall material 'C6 I 6 %. O L pt N I— +r--4' R Thickness \4 F0 C- a
Depth of foundation below grade (to bottom of footing ) \ f �•
Will there be a cellar? y4 ,4 Heated or \Bated: Floor sq. footage U7 sq ft
Will there be a basement? \�4 ;3 Will any portion be used as living space ? W lz�
( If so , what po t ' 0> sq. ft , - - Type of use?
Type of roof slope lat/shed/other Material of roof 7C Q
Size , wood studs " x t~1 spacing "o . c . length I ft ,
Joists ( floor beams ) 1st , floor "L- "3{ � " spacing ( '"o . c . span ft ,
Joists ( floor beams ) 2nd . floor "X IF
spacing "o . c , span ft .
Overlays ( ceiling beams ) "x " spacing "o . c , span ft .
Roof rafters X IFs dr
pacing 16 o . c , span %JL. 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 be provided?
Will a flue-lined chimney be installed? `v 3 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 ( i.ncluding adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system)
Tows' 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
authorized by the owner ,
SWORN TO BEFORE ME THIS Signature...(: ! -" -------------�---
day of
Owner , owner ' s agent , archirect, contractor
�-- �5 19 � �
Notary Public , Warren County , N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
By
�OWri (JtC �fRE'E'tlS � f�[ M1�
BUILDING and ZONING R RTME T
SaV and Haviland Road,
aueensburY. New Y"I" 12801
al j UJ) I NG INSPECTOR ' S REPORT
NAME t L J ?
LOCATION ' ' f " A Air —~~
-� _�� I Permit No .` i
Date * * * IN
APPROVED YES 0
)(Footing/pier Forms
Foundation
Waterproofing
1Backfi11
Framing
Roof ing
Siding
Masonry Veneer
Rough p1-t i ng
Relief Valves
Ext . Porches
Finished Floor
interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
I=N SU LAT I ON
Fpundatian
Floors
Walls
Ceiling
FI=4AL ELECTRICAL I1N51"ECTIO=3
L7RIVEWA`I APPROVAL
Final Building Survey��
=Next scheduled InsP
action Ccall wtxen ready )
Remarks-
Side set-back to property line looked to be
less than reuired . Applicant was not
e3
and informed that this responsibility falls
Of property) -
to the apPl}cant (owner rpp er set_paa3c .
plot plan submitted s
howe
1building Insp
6/86 and-V1
BU4LDtNG and ZONING L]EPARTMENT
gay and Havitand Road. R.L], t Box 98
}� Ctueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION !
permit No .
Date
APPROVED - YES NO
Footing/Pier Farms
l Foundation
Waterproofing
sackfill
Framing
Hoofing
siding
Masonry Veneer
ti Rough Plumbing
Relief Valves
i Ext , Porches
Finished Floors
Interior Trim
stairs & Railings
Cellar Drain Tile
i Concrete Floors
Plbg . Fixtures
ii Gar . Firepraofi.ng
r Door Closers
d. Smoke Detectors
Chimney
i INSULATIONS
Foundation
Floors
Walls
Ceiling
FINAL $LECTIIICAL INSPECTION�^�_ .�--
DRIV'EwAY APPROVALSurvey
Final Building
s call when ready
4 Next scheduled inspection
Remarks-
i' ao �-x"L
t
Building Spector
6/86 and-vl
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