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1987-376 } BUILDING PERMIT TOWN OF QUEENSBURY No. 87 376 WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Stephen Bush OWNER of property located aW� Queensbury Ave . Street, Road or Ave_ o ry I in the Town of Queensbury, To Construct or place a Addition to dwelling (porch) h, 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 . 010 ME WS Address is Queensbury Ave . rn rt 2. CONTRACTOR or BUILDER 'S Name (D ^c3 Same zi td 3. CONTRACTOR or BUILDER'S Address 4, ARCHITECT'S Name c� G fo m 5. ARCHITECT'S Address 71 w G 'C 9 B. TYPE of Construction — (Please indicate by X) CD ( ) Wood Frame ( ) Masonry [ I Steel ( I 7. PLANS and Specifications No. 12 ' x 18 ' addition to dwelling (porch) per plot: plan specifications and applications S. Proposed Use a CIA r• rt a rt O $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 1988 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rD town of Queensbury before the axpl rat 1on daps.} F'• 0 Dated at the Town of Queensbury this 22nd Day of dune 19 87 44 SIGNED BY Xe*? for the Town of Queensbury n `T Building and Zoning I nspector ,, 5 .� TO BE COMPLETED BY BLDG . DEPT . F c 1 r ,s.� C,t tuG. ;Vuw Application No . I �a. lYfLbi �] f 19 ,, L_" L J _lEiu/rt [3� �#,��sedC7lePL� permit Issued u �..l BUILDING and ZONING DEPARTMENT Permit Expires 19 tUN Jo 6 1987 Bay and Haviland Road, R.D. 1 Box 98 zoning Designation J 1Y 7O/ Queensbury, New York 12801 Variance No . BUILDING 84 CODE C'DEPT, Site Plan Review NO . Approved by : 1 TM APPLICATION FOR NCI PU I LD ING AND ZONING PERMIT it. BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . p PERMIT MUST BE OBTAINED BEFORE The undersigned hereby applies for a Building Permit to do the fallowing work which will be done in accordance with the description , plans and specifications submittedr and such special conditions as may be indicated an the Permit . The owner of this property is : Tel . 9� P , O. Address Tax Map No . / Property Location : Street number or building of number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Tel , No . Name P . O . Address Tel . Name of builder , Address Tel . Name of plumber Address Tel . Name of mason Address NATURE OF PROPOSED WORK : ZONING INFORMATION : A PLOT PLAN MUST BE PREPARED AND SUBMITTED , _Construction of a new building drawn reasonably to Scale and attached heretor p.�"Addition to a building '" showing clearly and distinctly all buildings , Alteration to a building proposed and indicate all (no change tO exterior dimensions ) W whether existing or 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 SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . a �. COMPLETE INFORMATION REQUIRED BELOW - ft K t . Size of property �- + '�'a"" ' * Existing building { s} Size asp ft ?C 60 ft . x" PROPOSED BUILDING AND USE : * Existing building ( s ) Use £t x !Sr ft 'r Size of new structure proposed building , distance from property line Foundation-pier/slab/crawl/partial/full 1 ft £t Rear yard rr .S (circle one ) Front yard_ --..— ft Noe, of stories (habitable space) _ /r * Side yards /,� r ft and t^o ft . ft Height (grade to ridge ) �Cir If on corner , setback from side street If residential , no . of families / OCCUPANCY INFORMATION r No . of rooms { excluding baths *--- No, of bedrooms - PRIMARY BUILDING No . of bathrooms -`y * _done family dwelling Primary heating system Two family dwelling Number of units Type of fuel ^ _ _ ,� Multiple dwelling / No . Of fireplaces to be installed permanent Occupancy Will a wood stove be installed?� Z Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE Industrialother Ranch Contemporary Log cabin if addition , what will use be . _�.� Raised ranch .Mansion Duplex Split level old style Bungalow * ACCESSORY BUILDING- Other Cod Cottage Other ear � Detached rage/one car/ two car Colonial Row Town House e car/ two car/� ca. r * Attache r /` { CIRCLE ONE PLEASE ) }wilding * k * * * yr * * ar * * * x ~Orivate s r / ESTIMATED MARKET VALUE OF ther CONSTRUCTION $ IS SHEET , TO BE COMPLETED ! — INFOP14ATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF TH Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUE,D - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe . etc _ �- JK_/ ec Will any second.-hand or ungraded lumber be used? If so , for what ? Foundation wall material Depth of foundation kaelow grade Thickness J (to bottom of footing ) -el eo Will there be a cellar?, + ,' .LHeated. ,or unheated? - —. Will there be a basement? —= Floor sq. footage sq ft _Will any portion be used as living space? ( If so , what portion? sq . ft . - - Type of use? - Type of rooffIloped/flatfshed other Material of roof Size , wood "" -- X_c to g: o "o . c . length rr ft . .Ioists ( floor beams ) lst . floor "3£ ." spacing_ f/ "o . c . span ft . .joists (floor beams ) 2nd . floor �" �� �. Z X spacing ---^ o , c . span .--,.. ft . Overlays ( ceiling beams ) "X "" spacing "Roof rafters �a` • p g o . co span ft . ........... „ spacing span'.r$ft . Roof trusses (pre-engineered) spacing "o . ce span ft . Exterior wall finish f A oe �^ p , t material ? x Interior wail. Finish If a garage is to be attached , describe materials to b ed for FIRE SEPARATION : Is there to be an opening between garage and dwe iing? door , enclosure , and self-closing device be provided? If so will a Fire-raged Will a flue-lined chimney be installed.? Height above roof Depth of chimney foundation below grade Ft , ft Depth of fireplace hearth ft , in . Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well separate a — l7 ( including adjoining properties ft _ (A se I� pplication is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren A F F I D A V I T STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application , together ,with the plans and specifications submitted , are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDTNA14CE , and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature ay of lg d Owner , owner ' s a nt , arcnicect , contrac"tor Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : By 5 w 4ql TOWts dF QuEEt3SBLlR`f ! 113 1JA BUILDING AND CODES DEPARTirIEN'� 1 AY & HAVILAND ROADS 12801 BA : 5$ ) 792- 5832 TEQU LEPHONE pRT .��,��� INSPECTOR' S RED' REf7UEST FOR INSPECTION RECEIVED��1 N PERM,`i� I ' L I .16 APPROVED DATE ! YES NO FOOTING/PIERS gQFtMS_� --- --�`�� � � MONOLITHIC �u P�PROOFING F'OUNDATIOND BiCKF APPROVAL .ROUGH PLUMBING ROUGH FRAMING IN O ELECTRICAL n INSULATION : FOUNDATION _' FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT��- k- ROOFING SIDING PORCHES EXTERNAL ALVE�_ STAIRS-CLEARANCE F` ELIEF PLUMBING FIXTURES/ INTERIOR `PRIM/PRI . ACC' DC FINISHED FLOORS GARAGE F'IREP1200 ING DOOR CLOSER (S ) - SMOKE DETECTO S INSP--- ECTION._� _--- ,FINAL ELECTRIC OF CONSTRUCTION_�� - FINAL APPROVA pCCL7PANCY MUST' BE NG DEPART'MENT .BEFORE A SIGNED CE B IRT� CATE OF OBTAINED FR©M THE UI ' THESE PREMISES ,ARE OCCUPIED REMARKS ' INSPECTOR - THE NEW YC3RK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 ,STATE STREET. ALBANY* NEW YORK 12207 } NL Application ,VO- on file 018254 /88 A 73 -0 83 Liese [3C`CC7iiE:w 2U P I9�$ THIS CERTIFIES THAT below and introduced by the applicant named on slue ebor" eppllceesaoes number era theprenseeea aj only the electr iced equipment as deeerlbed S'TEV=E BUSdi HOW.ARD STs GI ENS FAiT,SP 1Y Black Lotla in te fofloaaaaa location: Basement ❑ let Fl. El2nd FI. OUT IS 1i)9 Section ease exarrsened on � � '� � '�'S and found to be in comepliance with the requirements of this Board. H WASHMS EXHAUST PA RANGES CtN7EtlIrG PECKS C1YEN5 H. �. DISNS H%TUBE RXTLIRES AMT. K. W. AMr. KW. AMT- K- W. OUTLETS EIPTACLES SWITCHES 1MCANOESCENT VWOMSCEW AMT. K. W, UNIT HEATERS MUtTI.9UTLET DIiMMEES EVRNACE AIMDTORS WTLMIE APPLIANCE FEW=" SPECIALREC'fT TI#AECWCKS /ELL SYSTTiM5 AAAT wwTr DRYERS TRANS. AMT. H. P- NO. Cif HFET AMT. K. W- Clot H- P. GAS H. P. AMT. MD. w. w. +�. AMr. AMr, wAar- wMn. E R V I C E S A. W. c. No- of MEUTRAIs OF'I EttG11I� SiBier+ICE DISICONNECT o.M11 OF111t MO OF CC. CONP. W. G- No. OF H OF NI-lEG E AMT. AMP. TTP! gyp, 1 X ?w f X SW 3 ./ SW 7 / iW PHt y OF CC, e ,. 1 100 Cb 1 x OTHER AMARATtJS- - S . ± . STEV F IiUSK BRANCH MANAGER iiU'eT1,RD S`T PCJ BOX 342 239 - GLE?iS FALLS . NY 12601 r This certificate must not be altered in any manner: return to the affice of the Board if incorrect. Inspectars may be identified by their credentials. COPY' FOR BUILDING DEPARTMENT. THIS CO" OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, fA' f " � d� �04[JI3 O� �rtFFlir3P�+t!'� Bay'LDING and ZONING and Haw la d Road, . D.DEPARTMENT Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LC3CATION Date Permit No . ✓ = APPROVED - YES ,,k''FootingfPier Farms NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar ]gain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSUTAATION : Foundation Floors Walls Aw Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV Final Building, Survey Next s ul fnsprectivn (tali when ready Remarks- Building Inspector 6/86 WVl 144 P � q.g a� f �