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87-364 BUILDING PERMIT � TOWN OF QUEENSBURY No. 87-364 � WARREN COUNTY, NEW YORK ' George VanGarderen 1 PERMISSION is hereby grant to I 4 Lupine Lane Street, Road or Ave. OWNER of property located at 1� in the Town of Queensbury, To Construct or place a Additions to dwelling 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. r t . OWNER'S Address is 4 Lupine Lane N 0 Queensbury , New York 12801 ov m w 2. CONTRACTOR or BUILDER'S Name Pat Whalen ro fi CC H m 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name CD ro 5. ARCHITECT'S Address r m [7. :a(C onstruction - (Please indicate by X) Woad Frame 1 ) Masonry l 1 Steel ( 1 a rr, o. PLANS and Specif1Cations n w roof over front steps and enclose Breezeway ( 12 ' x2l ' 5" ) rt o No. per specifications and application u' rt @ rt $, Proposed Use One-Family Dwelling (roof and enclose breezeway) � E ly � N D r• n � Q 04 18 , 00 PERMIT FEE PAIR - THIS PERMIT EXPIRES (if a longer period is required an application for an extension must be made to the Building and ?aping inspector of the a' o town of Queensbury before the expiration date.) rp ri r-r tv N o N 4 Dated at the Town of Queensbury this 18th Day of June 19- -•- h az �C SIGNED BY for the Town of Queensbury Su1Iding and Zoning Inspector TOW IN c 3 TO BE COMPLETED BY BY DEPT. N rM yH ul Lk / Application No . ,�'UN 11 fw7uQ7u vain vxeee+tshetrt [ Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation BUILCli C co DEPT Oueensbury, New York 12807 Variance No, 7 J Site Plan Revie No . Approved by APPLICATION FOR Nj BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLL+OW'ING , 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 . ............______............____________..___. r___.._/_-----...�___________-_-______-____________ The owner of this property is : LCQ%2 ]� . �,f}�Q,,_/-`/�.�,L✓ / T P. O_ Address Tel . ..e7 r Property Location : wwww Lc,,ear #rz5 ��,�' y'�✓ 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 : ,fdZ► #/1-Z,2/ZZ4:� 2 dl % c' A211&/T Name P . O. Address Tel . Now Name of builder S!Ix e- / Address Tel « Name of plumber Address Tel , Name of mason 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, 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 SIZE AND of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED*. 0 * of septic disposal area . COMPLETE INFORMATION REQUIRED BELAW . * size of property //dc5 ft X "20 ft . '* Existing buildin ( s) Size �?r ft X +-� ft . PROPOSED BUILDING AND USE : * Existing building (s ) UseL?3C Size of new structure ft Xt * . . . Foundatlon pier/slavrrcraw artial/full " Proposed building, distance from property line (ci * Front yard . . . ft Rear yard / s ft No * of stories (habitable space) ft * Side yards a ' ft and ry i'Height ( grade( grade to ridge ) / i ft . * If on corner , setback from. side street ft 2f residential , no . of families / No . of rooms ( excluding baths ) +' * OCCUPA CY INFORMATION No , of bedrooms Now of bathrooms * PRIMARY BUILDING Primary heating system [._One family dwelling i No . off fireplaces to be installed wwwwwwwwwoTwo famly dwelling Type of fuel * Multiple dwelling / Number of units No . - Will a wood stove be installed? _yp * -J—Permanent occupancy Central Air conditioning? X/0 * Transient occupancy � - Business BUILDING STYLE, PRIMARY- STRUCTURE „ industrial nc Contemporary Log cabin * Other Raised ranch Mansion Duplex If addition, what will use be? 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/.Far Private storage building ESTIMATED MARKET VALUE OF * 'Orther CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! Form RPA 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? Foundation wall material Pzcz fc Thickness Ir Depth of foundation below grade (to bottom of footing ) Will there be a cellar?_ Z� p Heated or unheated? Floor sq. .footage sq ft Will there be a basement? -Will any portion be used as living space? ( If so , what por iox? sq. ft . -- - Type of use? Type of roof - sloped flat/shed/other Material of roof T Size , wood stu "X_ spacing /G "o . c . length eft. Joists ( floor beams) lst , floor .e JO , 4: " spacing A. "o . cft span f? . Joists ( €loor beams) 2nd . floor "X " spacing "o . c . span ft. Overlays (ceiling beams ) "x '• spacing / "o . c . span r ft. Roof rafters r� "?C � �-"' spacing rC o. c . span r2;ft. Roof trusses (pre-engineered) spacing "o . c . span fte Exterior wall finish Of what material? Interior wall finish If a gi? rJ ,ge is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening betWeen gar ge and dwelling? If so will a Fire-rated door, enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . Water supply - Municipal or private well �3oZL SEPTIC SYSTEM Distance from ANY private weil ( including adjoining properties ft , (A separate application is necessary for any repair or new installation of septic system) Town of Warren eensbury County off 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 . 9 SWORN TO BEFORE ME THIS Signaturi= wi�l er • s agent , archxrect, contractor 4'._day of lg Notary Public , Warren County, N . Y . * t +t * * * 3r * � ar vt * * * * w t }r * * w w * Yr • rF * ' vt * �t * 1k * ve • wr Jr * 71r * ate ik tlr * at sr SPECIAL CONDITIONS OF THE PERMIT : y TC}lYN ©F QUEENSBURY DAYLf xNAVX4r"D CODES DEPARTMENT BU QUEEN BLAND .ROADS TE SfiURY, NEfv Yoj?-K 128ok Y LEPH[7NE (518 J 792-5832 BUrLDIhfG INSPECTOR ' S FORT RAWEST FOR xNSPE cTxoN RE'CErVED NAME � ZIOCA DATE' Q• ^1 F PGTINGfp APPROVED MONO rERS YES j LxTH2C POUR FORMS `OIIlVD.�I TrON/ $ACxP MP�PR'p�7FING APPROVAL +SOUGH .LVMsxNG �'RAMxN xN � � ROUGH-xN Tx POUNDATr(9� FIRS WA ZS C.�riz-NG , L- ANAL xNSP rxo ; CHxMNE'Y NExGHT , SrD.tNG EXTERNAL PpRChiES/ EPs U PLUM�s4V.B2SrNG-CLEARANCE fi F'xX'7'UR Apyr� xNTERIOR TR2"M/ s/'12ErxEF VALVE F-tNxSHED VACY DOORS ~-y GARAGE FIREF DOOR CraQSR4R SMoxE DETEC PTArAL ZZ*zc2w CAL RS 1p PxNAL APPRO rNSPECTxON AL JP +C 04NSTRUCTTO1y' A SxGNED C R77 tF IoBTATJVZD p d, -rc qTz OF OCCUPA THE'SF. PREMrSE THE RUxLDrNG IJEPY MUST 8E S ARE OCCUP tED 2M,&'NT BEFC7RE REMA3?1C,Sr ' TOR TOjVN OF QUEENSBURY BUZZ r3rNG .AND CODES DEPARTMENT BAY 6 HAVr*AVD ROADS olJEEN,5BuRY, NEW YORK 1280g1 TELEPHONE (518,) 792-5832 GILDING INSPECTORS R.EpORT k'ESr�UEST FOR rNSPRCTrOIy NAME ( RECEIVEIJ_ Z40CATTON III � � d DATE �� -~ -•---� RMIT # FOO rNG 7�J PR'OV eD /PT,6Rs YES NO MONOLT2.HrC POfTR FORMS F`C7U'.NbA 2".2"ON/17AMP-P1tOGtF r BACKPI-I APPROVAL ROUGH PLtT16lB rNG R LECT NG ECTR IC`A R--OVIG-X-SN TNsuzAT.roly FOtPNDA TrON FIRS WAL, s CErLrNG FTNAz ra+rspECTroN: cHTM1VEY HEZGrT RG70F1 NG SrbrNG EXTERNAL PC7RCHES/STEP STArF2S-CLEARANCE & RATL `----- PLUMB-MG F'rXfiL112ESf LrEF Ly- rNT'BRrc?R 7'RrM/2aRI A V E PTNTSHED F'Z pORS C DOORS GARAGE FIREpROp rNG DOOR CLOSER (.Sl - SMOKE DETE`CTO FrNAL s �ci rrc FINAL rNSPECTTON APPROVAL OF CONSTF2*JC27ON - --- ~ A OB TAINED 71A CERfi FICATE OF FROM ' OCCOPANCY THESE p THE Bt1rLDTNG Z, BE REMISES ARE DEPARTMENT ,BEFORE OCCUPrEb? REMARKSr a f TN.SP 1 jj , ueens6urt�r 0I /4 UILDfNG and ZONING DEPARTMENT V �J Bay and Havriand Road, R. D. I Box gS lf Queensbury, New York 12801 8 UILbfNG INSPECTOR ' S REPORT NAME LOCATION W Date _{�•y Permit No . 00 t in APPROVED - YES g/pier Fox•ms Np Foundation Waterproofing Backfill 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 INSULATION ; Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV Final. Building Survey Next scheduled inspection (call when ready Remarks- - 7 6/86 Building Inspector md�vl