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1987-432 BUILDING PERMIT � TOWN OF QUEENSBURY � Na. 87-432 � WARREN COUNTY, NEW YORK RICHARD ROZELL PERMISSION is hereby granted to t OWNER of property located at - - ---- -- -- � � Street, Road or Ave. o tv in the Town of Queensbury, To Construct or place a Detached 4 Car Garalre , application together with lot plans and other information hereto filed and N at the above location in accordance to app ' g p approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. OWNERS Address is 22 Fox Hollow Lane Glens Falls , N . Y . 12801 2, CONTRACTOR or Bill LDER'S Name H n Same 3_ CONTRACTOR or BUILDER'S Address O ea t� r r 4. ARCHITECT'S Name 5, ARCHITECT'S AddressPd C] C7 H .y+ 69 TYPE of Construction — (Please indicate by X) !KA wood Frame 11 Masonry i 3 Steel 1 ) F7. PLANS and Specifications 22 ' x 4$ ' Detached 4 Car Garage as per plot plan , specifications and application .poses! Use n Garage S" �f rD n $ 15 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 , 19 88 ro (If a longer period is required an application must b for an extension mue made to the Building and Zoning inspector of the R town of Queensbury before the expiration date) N M Dated at the Town of Queensbury this 10 Day of Jul 19 87 p' mar ro SIGNED BY -- for the Town of Queensbury Building and Zoning lnspector � TO BE COMPLETED BY BLDG . DEPT , Application No . ©Wrt Dfet�pnlault Permit Issued. 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 l� Bay and Haviland Road, R. D. 1 Box 9$ Zoning Designation JUN 2 21987 Queensbury, New York i28ol Variance No . __ / 11 Site PI n Review N L BU! #N & CODE DEPT. Appro d J ' { / ✓ l�f."� APPLICATION FOR Ale) FUILDING 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 proper/try is : _+ -? .-� P . O . Address cam . /�� +�c}--. - cv k...s Tel , s?4-- ?S'.tia'`r - Property Location: � /�' Tax Map No . f / Street number or building lot number Subdivision name ( if applicable) T� 9--P,,ERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O . Address Tel . No . Name of _ builder Address Tel . Name of plumber Address Tel . Name of mason + Address Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : Xconstruction 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 AFFECTEDw of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . i * Size of property c —0 f $t-,.Z.: f t X //C!C f t . Existing building ( s ) Size ---- - ft X - ft . PROPOSED BUILDING AND USE : � . Existing building ( s ) Use Size of new structure - ft X `/deft Foundation-pier/ lab crawl/partial/full Proposed building , distance from property line circle one) No . of stories (habitable space ) ) * Front yard /cu ft Rear yard ) Y ft Height ( grade to ridge ) / 5 ~ ft . * Side yards � rz �� ft and 5 ft If residential , no . of families If on corner , setback from side street ft No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No . of bedrooms * PRIMARY BUILDING - No . of bathrooms One family dwelling Primary heating system Type of fuel _ * Two family dwelling — x Multiple dwelling / Number of units No , of fireplaces to be installed Permanent occupancy Will a wood stove be installed? x 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 Bungalow Cape Cod Cottage e * ACCESSORY BUTLDING- Colonial Row Town House * j`Detached garage/one car/ two car/ 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 C LETED ? Form BPA 4/86 and-vl ONN OF Q�EEII5E+L11�Y BUILDING AND CODES DEPARTMENT a HAVILAND ROADS 128ok BAY BURY . NEW PORK 5832 OVEENS 518 ) 792- TELSPHONE r 1,NspE.C'lclp ' S g�pORT INSPECTTON RECETVEP REQUEST FOR NAME YILTTON PERMI O T # � /o _ AP NO DATE YES FOC?TINGIPTERS F ORtIS_�� -- ----"`~ MONOLITHIC POUR NCs�- FOUNDA'lTTO'NA AMPJ ROOFI ROOFI Bp,C KE'T LL ROUGH PLUMBING FRA 41NG UGH- TN_�_�- - ~ Ey,ECTRIC�'L R� IN,SU TTON : FOUNDATION FLOORS WALLS � �- TLINSPECTTON =t�eNAL CHxMNEY ROOFING_-------- STDING EXTERNAL + vALVS STAIRS_ p XTUREs/RELx PLUMBING TRTMIp VACY Drab S --� INTERIOR FLOORS_ -- - � _r — -- � �'~ GARAGE �'SREPRGf�7FTNG___ -�—~ DOOR CLO SMOKE DETECTORS TNSPEC ON - - -�- -- FINAL L PROV L OF COSSTRU`CTSONFINAL pCCUPANCy MUST BE BUILDING IJEPARTIMENT BEFORE ly �cIGNED CERTIFICATE OF OS IG NED FROM THAERE OCCUPIED i THESE PREMISES REMARKS: As ` T PECTOR a� , ' + gUyLi]1NCa and ZONINCa RE RTeMIENT orc 9B Bay and k-►auiiand Ne York 128{]i oueensbury. BUILDING INSPECTOR ' S pEPORT NAME y LOCATION / �{ i Permit No . Dat � �,e * * * * * " * * * * * * * * * �* s AFPRC3VED - YES NO Food-ng/Pzer Forms Foundation ,Waterproofing Ba krill aming Roofing Siding ry Veneer son ugh plumbin5 �.� Relief Valves_, Ext . porches Finished Floor's InteriorI.Trim Stairs Railing Cellar Drain T - ems. — concrete Floa 1 �- Flbg - Fixtur s Garm r1repr offing Door C D lose s smo3ce Det ctors chimney IN S[3TwATICtN Foundation Floors Walls Ceiling INSVECT='pt3r_� - - FINAL ELECTRXCRI.. �.--- DRIVEWAY APPROV Survey Ftnal Building j (call en ready Next scheduled tnsP ection wh i y Remarks~ � Building Snsrea7tC7r . y 6/86 md- vl f� flown of 'Queenshury AaV UILDING and ZONING OEPARTMENT 1 and Haviland Road, R.Cl. 1 Box 98 0 Queensbury, New fork 12601 BUILDING I NSPECTOR ' S ,rREPORT NAME LOCATION + 2 Date�� Permit IVa .)4;d7. * APPROVED,r * r✓ �P* ting/Pier Forms L 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 INSULA`L`ION Foundation Floors Walls Ceiling FINAL. ELECTRICAL INSPE TION DRIVEWAY APPROVAL - — Final Building Survey Next scheduled inspection (call when ready ) Remarks M rG -�� r� tit ��•U'-'�' Building ns cto 6/86 and-vl