1987-371 13UILDING PERMIT y
TOWN OF QUEENSBURY No. 87-371 �
WARREN COUNTY. NEW YORK z
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�444,,��,,������jjj/// ,� es M . Let t u.s
PERMISSION is hereby grant
Street, Road or Ave.
OWNER of property located at
0eens'hur Avenue �
Two—Car Detached Gara e
in the Town of Queensbury, To Construct or place a together with plot plans and other information hereto filed and
at the above location in accordance to application togs Ordinance.
approved and in compliance with the Town of Queensbury Building and Zoning
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t. OWNER'S Address is 1.6 Queensbury Ave .
Queensbury , New York m
2. CONTRACTOR or BUILDER'S Name game r ro
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3. CONTRACTOR or SU1 LDER•S Address
same
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d. ARCHITECT'S Name a'
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5_ ARCHITECT'S Address
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S. TYPE of Construction — 1piease indicate by Xl
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} Wood Frame l } Masonry 1 I Steel i }
7. PLANS and Specifications
24rx26t per plot plan , specifications and application
No.
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a. Proposed Use
Two-Car Detached Garage
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19 88
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$ 10 . p PERMIT FEE PAID THIS PERMIT EXPIRES 3anuar
(If a longer Period is required an application for an extension must be made to the Building and Toning inspector of the G
town of ❑usensbury i,efore the expiration date.) n
0
19 87
Dated at the Town of Queensbury this 19th 'Day of
June
�i In , or the Town of Queensbury
SIGNED BY I3uilding and Z4n+ng Inspector
TO BE COMPLETED By BLDG . DEFT.
�] Application No . TOWN pF 'LJFLIos
fipwn of Quee►73Lf "ry Permit Issued 19 ( r� r�l f� � ���
BUILDING and ZONING DEPARTMENT Permit Expires 19 illy �IryJ f 3
Bay and Hawifand Road, R.D. 1 Box 98 zoning Designation Variance �jyiy�}1AY 1 1987
Queensbury, New York 12801
Site Pl Review
j Bt I[L.DI �3G & CODE !]EPT.
11 /� 'Cfoo- 'f Apporl,
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APPLICATION FOR t
' ' o
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 indi-dated on therPermit _ _____________
The ownerof this-property-iis a rT dQ e.
Tel . - 6 9L
P. O. Address
Tax Map No . !' /
Property Location :
Street number or building lot n er
Subdivision name (If applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
r - Tel . No .
NameP . O . Address
Address Tel .
Name of builder Tel .
Name of plumber Address
Tel .
Name of mason Z
Address
NATURE OF PROPOSED WORK : ZONING INFORMATION :
Construction of a new building s�-
" A PLOT PLAN MUST BE PREPARED AND ,,SUBMITTED ,
_Addition to a building C/ drawn reasonably to scale and attached hereto ,
o a buildin
" showing clearly and distinctly all buildings ,
Alteration t
� (no change to exterior dimensions ) whether existing or proposed and indicate all
set-back dimensions from property lines . Give
Other work (describe)
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 .
COMPLETE INFORMATION REQUIRED BELOW .
Size of property 164 ft X 16 6 ft .
* Existing buildings) Size—•—ft X_ .-ft .
x-
PFtQ_PC7SED BUILDING AND USE : * Existing building ( S ) Use
-j �j!--ft X..��^'Ft
Sizes of new structure erty line
-w�
proposed building , distance from prop
Foundation-pier la /crawl/,partial/full 1> f ft
circle one) * Front yard 070 } ft Rear yard 3 �-No of stories (habita Side yards 3 ft and - / * ft
�t
jWeight (grade to ridge) _ t-as If on corner , setback from side street
P' r ^ _�___� 3 �, -•�_-�a ' lzss OCCUPANCY INFORMATION
No . f cams xaludin baths
N . o bed _ PRIMARY BUILDING
coo f ba rooms One family dwelling
Pr ' my eat-in s St _ Two family dwelling
Ty e o ue1 �. Multiple dwelling / Number of units
it es t be in alled * J Permanent occupancy
W ins * Transient occupancy
C * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* Other
Ranch Contemporary Log cabin If addition , what wi:11 use be?
Raised ranch Mansion Duplex *
Split level old style Bungalow * _
Cape Cod Cottage Other ACCESSORY BLIILDSNG- car
Town House A r Detached garage/one carf(two ca (_.. --
Colonial Row car
_rI0000000
CIRCLE ONE PLEAS
( E: ) Attaohed garage/one cart two oar
Private storage building
ESTIMATED MARKET VALUE OF * "Qther
CQNSTRLJCT C
INFORMATION O Bi7ILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETED !
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
Bl1ILpIPlG SPECIFICA7IOIVS0 J
Type of construction 0d fra ire safe , etc .
Will any second-hand or ungraded lumber be used? if so , for what ?
Foundation wall material
Depth of foundation below Thickness n( �^I V
grade (to bottom of footing)Will there be a cellar? ) Heated or unheated? --
Floor sq. footage sq ft
Will there be a basement?
Will any portion be used as living space?
( If so , what portion? Sq . ft .
Type of roof t/s
slo flahed/other Type of use?
Size , wood studs Material 0 roof I (�
_... � "x_.�"' spacing "+o . c , length � €t.
Soists ( floor beams ) lst . floor x "+
.joists ( floor beams ) 2nd . floor •, spacing 'o . c . span ft .
Overlays (ceiling beams ) ""x + spacing "o . c _ span ft .
'"x
Roof rafters "' spacing a . c , span ft .
+" spacing 0 , c . span €t .
Roof trusses (pre-engineered) spacing`_/ "'o . c . spanft .
Exterior wall finish T ! [ I
Interior wall finish Of what material? 7C .yf �jatl loco
e i s to a a �
descr III I ibe materials to be used for FIRE SEPARATION :
Is there to be an opening betty garage and dwellin
door , enclosure , and Bel osing device be provic If so will a Fire-rated
Will a flue-lined ney be installed?
Depth of chi foundation below grade ft . eight above roof ft .
Depth of ' eplace hearth ft . n .
Water pply - Municipal or ' ate well
S IC SYSTEM _ Distance m ANY private well ( inCl
A separate applicat ' is necessary u adjoining properties ft ,
ry for any r or new installation of septic system)
Town of queen skaury County of Warren A r C
F 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 sta ement of all proposed work to be done on the described premises
provisions 0 t BUILDING CODE , THE ZONING ORDINANCE and that all
, and all other laws pertaining to
the proposed k shall be complied with, whether specified or not, and that such
authorized bar, he owner , work is
SWORN TO FORE THIS Signat �
er , ' s `.agent , arcriite �_________
day of 19 , contractor
Notary Public , Warren County, N . Y .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT :
TOWM OF QuE:3 ENSBURY
BUILDING AND CODES DEPARTMENT
DAY & HAVILAND NEW
OARS 2281?4
QUEENSBURY, EW 79 128
TELEPHONE f
832
BUILDING INSPECTOR" S REPORT
INSPECTION RECEIVED
REQUEST FOR
NAME
,LOCATION
r7 7 7 � f PERMIT #f
DATE APPROVED
YES NO
FOOTINGIPIERS FORM
MONOLITHIC POUR
FOUNDA.TXONIDAMP-ZROOFING �_��� -�--�
BACKF'ILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION = r�
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION : i
II `` CHIMNEY HEIGHT----�-
ROOFING
SIDING S/STEPS
EXTERNAL PORC
STAIRS-CLEAN'
CE & RAILS
jpESIRELTE
PLUMBING FXXP'TR. 'PRIVACY DOORS
LVE
INTERIOR I
FINISHED k RS
GARAGE FIR PROOFING
DOOR CLOS R (S)
SMOKE PET CTORS
ELECT
FINAL 'CAL INSPECTION
FINAL APPRO AL dF CONSTRUCTION
A SIGNED CERTIFI
OF OCCUPANCY MUST DE
CATE
HE DpC�P�'ED�,EPARTMENT BEFORE
08TAINED FROM �"
THESE PREMISES ARE
REMARKS :
IN PECTOR
_Jnwrr ofueensb�ere
BUILDING and ZONING DEPARTMENT
Bay and Havifand Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
L O C A T I O[V
Date Permit No .
7 - 71
APPROVED - ` NO
!' Footing/Pier Forms
Foundation
waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Brain Tile
Concrete Floors
Plug . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
walls
Ceiling
FINAL ELECTRICAL INSPECTION -�
DRIVEWAY
Final Building Survey
ction {call when ready )
13ext scheduled insQe
Remarkslea
gu ding Inspector
6/86 and-v1
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