1987-363 BUILDING PERMIT
TOWN OF QUEENSBUR''1P' Na 87-363 �
WARREN COUNTY, NEW YQRK
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PERMISSION is hereby granted to Michael E . Lopez
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OWNER of property located at Stevens Road Street, Road or Ave. t
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in the Town of Queensbury, To Construct or place a Two—Car Detached 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.
t. OWNER'S Address is E evens Roadq 13ox
Queensbury , NY 12801 ram,
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2. CONTRACTOR or BUILDER 'S Name
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3_ CONTRACTOR or BUILDERS Address N
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6_ TYPE of Construction — (Please indicate by X)
i X) Wood Frame [ ) Masonry l ) Steel
7. PLANS and Specifications
No 24tx3O ' per plot: plan , specifications and application 0
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S. Proposed Use
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Two-Car Detached garage n
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$ 10 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES January 1 yg $8 o
{lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration dated fD
Dated at the Town of Queensbury this 1$th at for
June 19 87
SIGNED BY 277 ad '� r N _ for the Town of Queensbury
Building and Zoning Irma �/
TO BE COMPLETED BY BLDG . DEPT .
��"` Application No .
._ OLUI'! 0 LlPE'1''! .1l7L1"1"y Permit c Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R. D_ 1 Box 98 zoning Designation Utz* , l 0
Oueensbury, New York 12801 Variance No . JU17 . ] 1987
Site Plan Review
Approved by : BUILDING & CODE DEPT.
APPLICATION FOR 0 1 40
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 : Ic Yli4 ck. E
P . O. Address ;444q ia Tel . r _ -2A! �[
Property Location : Tax Map NoOWI /
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_] i p r; +-, e PP'4Lddress -!' (i' -+" Tel . 2 7 1 C
Name of plumber Address Tel -
Name of mason Address Tel *
NATURE OF PROPOSED WRK : ZONING INFORMATION :
yLnstruction 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 . * of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW .
Size of property ft X ft .
* Existing building ( s) Siz x ,4 ft X 4 L ftt
PROPOSED BUILDING AND USE : * Existing buildings ) Use
Size of new structure L r ;; ?Oft
Foundation-pier, g_�crawl/,partial/ full Proposed building , distance from propertr�y line
a
(circle one ) * Front yard 't [ f Rear yard �+ CE 17 ft
No . of stories (habitable space ) * Side yards {// t and x ft
Height ( gt-ade to ridge) ft . ft
* If on corner ' setback from side street. ft
If residential , no . of families
Now of rooms ( excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms 3Now. PRIMARY BUILDING -
Pri of bathrooms r * .--One family dwelling
Primary heating system Two family dwelling
Type of fuel fi 1 e, f
C Multiple dwelling ,/ Number of units
No . of fireplaces to be installed_ INO
Will a wood stove be installed? Permanent occupancy
*Central Air conditioning? Ann 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/ T(W O car
( CIRCLE ONE PLEASE } '" Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * —Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED :
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , eto . e3 rsS :Ce ro-q.. Al g
Will any second-hand or ungraded lumber be used? If so , for what?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing )
Will there be a cellar?-_O.Heated or unheated? _ F` 1755 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 use?
Type of roof - 212ped/flat/shed/other Material of roof
Size , wood studs__ _"X 6 " spacing " o . c . lengthh � ft .
Joists ( .floor beams) lst . floor 4_' X $" spacing-"
"o . c . span/ ft .
Joists { floor beams ) 2nd . floor s"X ,np " spacing s"o . c . span AW ft ,
Overlays (ceiling beams ) 'ix_-_r." spacing "o . c . span (16ft _
Roof rafters _tlo "x_4_4_" spacing__ .. o , c . span./ p _ _ft,
Roof trusses (pre-engineered) spacing�Q (r '"o , c . span y_ft .
Exterior wall finish Of what material?
Interior wall finish
If a garage is to be attached , describe m terials 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? Height above roof ft .
Depth of chimney foundation below grade ft ,
Depth of fireplace hearth ft ,
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury T� 11
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 , tcxgether 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
provis ` ons of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
the pro sed work shall complied with, whether specified or not , and that. such work is
authorize by the ow
SWORN TO B RE THIS Signature`s -1 � x -
e o er ` s a , rchitect, contractor
day 19
Notary blic , Warr County, N . Y .
Is As
SPECIAL CONDITIONS OF THE PERMIT :
Bu1LDING and ZONING DEPARTMENT
Bay and Haviland Road, R.O. 1 Box 96
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
i
NAME
LOCATION
Date , �/ Permit No .
r/ s APPROVED - YES NO
96*11-01
ng/Fier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Til
Concrete Floor
Plbg . Fixtur
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAi - ^^—
Final Building Survey
Next scheduled inspeetlnn (call when ready )
Remarks-
Buil ing Inspector
6/86 and-vl
awn of Q"eenj " ry
BUILDING and ZONING DEPARTMENT
Say and Haviland Road, R. D. 1 Sox 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Datez—o /Gr / e,:3' �71?ermlttsNo .
!✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
gaming
moo f ing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext , Porches
Finished Floors
Interior 'Prim
Stairs 6 Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproof ng
Door Closers
Smoke Detec rs
Chimney
INSULATIO
Foundati n
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTIO
DRIVEWAY APPROVA
Final Building Survey
Next scheduled inspection (call when ready )
Remarks-
! /;/tL3
Bul�lfding Inspector
6/86 md--vl
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