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1987-412 BUILDING PERMIT TOWN OF QUEENSBURY No. 87- 4125cD � {{ ( WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Joseph E . & Mary Jo Gordon. OWNER of property located at gli 7 jinx -21rtffi John St . Street, Road or Ave. I in the Town of Queensbury, To Construct or place a 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. un 1. OWNE RAS Address is RD 2 Sox 291E John St . Queensbury , N . Y . 2. CONTRACTOR or BUI LDE R AS Name Same o m ra b 3. CONTRACTOR or BUILDER '$ Address � sp+ M a. ARCHITECT'S Name C O O M 5, ARCHITECT'S Address a 6. TYPE of Construction — (Please indicate by X) I N Wood Frame 11 Masonry I I Steel I I ^' to O 7_ PLANS and Specifications N No, 10 ' x 12 ' Screen porch—roof over existing slab per plot plan , � specifications and application . a' B. Proposed Use Addition to one family dwelling n $ 5 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 , 19 88PL N• Ilf 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 datej o Dated at the Town of Queensbury this 6th Day of July 19 87 0 0 SIGNED BY 0! for the Town of Queensbury ro Buildn,g and Zoning Inspector �r / ri TO BE COMPLETED BY BLDG . DEFT . C� /r Application No . ]J - � - ..�+ OWn 0/ eenJ ur��t Permit Issued 19 ( `.` ` � C' . . � "F_3 v a `, iw BUILDING and ZONING DEPARTMENT Permit Expires 19 `� i Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Queensbury, New York 12801 variance No . LLLllllll111 JUL 11987 site Plan Review TO Approved by : BUILDING & C:ODE DEPT APPLICATION FOR t� 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 . ----------_____________............ ....... _�_--------^ DO'Vhe owner of this property is : 4 � P . O. Address Poe�Cc2LXgOT6kn Tel - yC Property Location : �¢ �� J G?!� x/• V /°2cL� !� �� 1.3 S T Tax Map No . / / Street number, or buildin lot number S app ica THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : cni� >M� Name P . O . Address Tel . No . Name of builder � Ci , . . , .� s Address Tel . Name of plumber - C+ - - 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 , -?CV 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 FO ITION PERMIT , ST GE -AND of water supply and location and configuration LOCATION O RUCT AFFECTED * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of property ft S ft . Existing buildings ) i e ft X ft . PROPOSED BUILDING AND USE : Existing building riba Size of new structure �F�--ft X--t7 ft Foundation-pier/slab/crawl/partial/full Proposed buildin , s a ce from proUerty line ( circle one) * Front yard ft Rear yard ft No , of sto ' es (habitable space ) Side yards ft and ft Height ( gr e to ridge) �ft - If on corner , setback from side street ft If residentia no . of family. No . of rooms ( e luding bath OCCUPANCY INFORMATION No , of bedrooms PRIMARY BUILDING - No . of bathrooms One family dwelling Primary heating syst Two family dwelling Type of fuel < Multiple dwelling / Number of units No . of fireplaces t be stalled Will a wood stove a insta led? r Permanent occupancy Transient occupancy Central Air con tioning? Business BUILDING STY , PRIMARY STRUC RE Industrial Ranch Contemporary Log c in * Other ? If addition , what will use be . Raised r ch Mansion Duplex Q , split vel Old style Bungalow * — p � x �� r�' Cape d Cottage Other '� ACCESSORY BUILDING- Col nial Row Town House Detached garage/one car/ two car/ car { CIRCLE ONE PLEASE } t Attached garage ne c?`a / two car/ car ,/ * * * * * * x * * * * * * Private storage bu ing ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ _tr!q5� INFORMATION ON \BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED , Form BPA 4/86 and-vl _ lawn oftiee,� 3etre� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, p C3ueensbury, New yor1280 98 1 BUILDING INSPECTOR ' S REPORT NAME YZ1Q 630 X LOCATION Date_ t. Permi NO . * S APPROVED - NO Footing/Pier Forms Foundation Watterproo ing Backfill F raming Roof ing Siding Masonry Vane Rough PI bin Relief Valves Ext . Porches Finished. Floors _ Interior Trim Stairs & Railing cellar Drain Ti Concrete Floor - Plbg . Fixture Gar . FireprO Ping Door Closer Smoke Detec ors Chimney INsaLATIa Foundati Floors Walls ceiling FINAL ELECTRICAL INS PECTIC]N ^� RIVEwAY APPROVAL Final Building Survey tion (Gall when ready ) Next scheduled lnsp ac Remarks- AJ � i � � �7 aU__- Builds 9 Inspect r 6/86 and-vl lqq �crurn of Queensl "e'y [ BUILDING and ZONING pEPARTMENT 1 �4 Bay and a sbu H.D. x 98 ry, New york12801 � t BUILDING INSPECTOR ' S REPORT NAME LOCATION 'le p/; it t1r� . '� " /�- DateLf/r Perm -it * * * * * * * * * *y * * APPROVED - YE NO Footing/Pier Farms Foundation Waterproofing Backfill Framing L,ACOOfing . Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings_ Cellar Drain Tile Concrete Floors ---� Plbg . Fixtures ,Gar . Fireproofin Door Closers Smoke Dtec tors Chimney INSULATION Foundation Floors Walls ceiling FINAL ELE RICAL INSPECTION DRIVEWAY PPROV �---- Final Building Survey Next scheduled Inspection (call when/ ready Remark Su Idling Inspe or bf86 and-vl � � 2?� ..J'nccrs>! o� �tteens6ure� �� ' /}/ �I BUILDING and ZONING DEPARTMENT YIl Bay and Haviiand Road. R.D. 1 Box 98 i 1 Queensbury, New York 12801 r BUILDING INSPECTOR ' S REPORT NAME L O C A T O N 176X ij �to' '' Permit No . 4 f ✓ = APPROVED - YES NO Footing/Pier Forms �. Foundation Waterproofing Backfill Framing ofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detec rs Chimney INSULATION Foundatio Floors Walls Ceiling FINAL EL TRICAL INSPECTION VU0IVEWAY APPRDVAi. inal Building Survey Next scheduled inspection (call when ready Remarks-- a Building Tnspec or 6/86 md-vl