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1987-476 BUILDING PERMIT H TOWN OF QUEENSBURY No. 87-476 � WARREN COUNTY, NEW YORK o Dick & Helen Cutting o PERMISSION is hereby granted to 1 Sunnyside Rd . � T 1 , to OWNER of property located at ' [ Street, Road or Ave. Co in the Town of Queensbury, To Construct or place a Alteration to One—Family 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. C7 1 . OYME R'S Address is j• R. D . 1 Box 283 7r Queensbury , N . Y . 12801 sr (D {D I 2. CONTRACTOR or BUI LDER'S Name % Same n rt r-n 3. CONTRACTOR or BUILDER'S Address tm 4. ARCHITECT'S Name C to Imo• ly ro S. ARCHITECT'S Address r� C] N P. S. TYPE of Construction — (Please indicate by X) i X wood Frame ( i Masonry I ) steel [ l 7. PLANS and Specifications y No New hoof for One-Family Dwelling per plot: plan, specifications and application . m rt $. Proposed Use One-Family Dwelling 0 ro 10 . 00 February 1 88 $ PERMIT FEE PAID — THIS PERMIT EXPIRES y ' 79 � (If 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 date.) Dated at the Town of Queensbury this 24th Day of 3uly 19 $7 ao SIGNET) BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . // Application No . ©urn a uee/+ s6ur[� Permit Issued 19 l TOVVIN O BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation �C U LU Queensbury, New York 12801 Variance No. Site Plan Review No . J U L 2 0 1987 sob 1 De y Appro d BUILDING & CODE DEPT APPLICATION FOR BUILDING AND ZONING PERMIT n---- A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted , and such special conditions as may be indicated on the Permit . XThe owner of this property is : POA%P . O. Address fp�% i7C 1 A3 �r.,�,rc ,v r p�.,a�� ./�'+ �!" "� /- 9 7.$. 7 Tel . 7q'X d'77'.0. property Location : 0 "", A0e0,ar Zj.*4e Tax Map No . S-0 1-L-11 Ir.2 Street number or building lot number THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O. Address Tel . No . Name of builder �r-�r� Address Tel . Name of plumber Andress Tel - Name of mason Address Tel. . NATURE OF PROPOSED WRiC : 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 � .00her work (describe) _ set-back dimensions from property lines . Give , f +k,� .Q F S'�"YLt1C�r'[> /� � '� street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND LOCATION OF STRUCTURES AFFECTED . of water supply and Location and configuration of septic disposal area . w * COMPLETE INFORMATION REQUIRED BELOW . Size of property ft X ft . Existing building ( s ) Size ft X ft . PROPOSED BUILDING AND USE : Existing building s ) Use Size of new structure ft X ft Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line ( circle one ) " Noe of stories (habitable space) Front yard ft Rear yard ft Height ( grade to ridge ) ft . Side yards ft and ft If residential , no . of families If on corner , setback from side street ft No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No. of bedrooms No . of bathrooms PRIMARY BUILDING - Primary heating system _,. _One family dwelling Type of fuel Two family dwelling rf firms. }� Multiple dwelling / Number of units *I^ daces to be installed � Willva • wood stove be installed? Permanent occupancy Central Air conditioning? Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin Other I } 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/ car * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF " —Other CONSTRUCTION $ f9O - -'- - - - - - - - _ - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED : F^. ,. non A/SL md-'vl V TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS l QUEENSBURY, NEW YORK 228011 TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR .INSPECTION RECE�IVEED� .2-,5_ y- 2 NAME LOCATION J DATE APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDA TIONfDAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH--I INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESf TEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTU S/RELIEF VALVE INTERIOR TRIMf RIVACY DOORS FINISHED FLOO S GARAGE FIREP OOFING _ DOOR CLOSER S) SMOKE DETE RS _. FINAL ELECTR CAL INSPECTION FINAL APPRO L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE .BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED ! REMARKS: � x INSPECTOR 0tv" 01 ueend �urr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-0. I 'Box 98 Queensbury, New 'Y`ark 12801 BUILDING Ip1SPECTO ' S REPORT NAME �GC LflCAT I O Damre mit No . `1� 7 *j/* * APPROVED - YES IIII NO Footing/pier Forms Foundation waterproofing 13 raming Roof Si ing Masonry veneer Rough Plumbing Relief Valves Ext , porches Finished Floors interior Trim Stairs & Railings Cellar Drain Til concrete Floors plbIg . Fixture Gar , Firepro ing Door Closer -� smoke Dete Ors chimney :rNSULATI Foundat ' n FIOors walls ceiling FINAL L ELECTRICA INET ...CTIC7Ny -- -•-- DRIVEWAY APPROVATti Final Building Survey Next scheduled inspection` (call when ready Remarks- 6 d Building Inspector 6/8S and-VI r F a I �� �� a jz Lo � Q �t e4•n goo CN At �YOLO , G m { ► ' cr, Q OD SPA t� co p , ta5 a Lo Q �© LO , co 0 4(© d r` Lo 0`� _�._..... .. �.._ co fllororY dto* j?tcK ef/rxwzll Cdrr»rL l e r 41 s� �ss. 44 �'/PC� Po1�d /�ll6v J�l►� J�rl�y't' 'T t`T t' �Y�I� ,� }[IJ �N< �d ifs zn � + LI AbrIA ( 1 i i�X � xla iA ? � �Q�lt✓ xX� o fr �