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1987-514 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-514 � WARREN COUNTY, NEW YORK Tl Joseph Lehet ,10 PERMISSION is hereby granted to I N I OWNER of property located at 1 Potter Road Street, Road or Ave. ra 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. 1 . OWNER'S Address is i Potter Road Queensbury , N . Y . 12801 0 to ro *c! 7. CONTRACTOR or BUI LDE R'S Name r_, Same r CD 3. CONTRACTOR or BUILDER 'S Address '° r-P 4. ARCHITECT'S Name b 5. ARCHITECT'S Address rr ro ri 7d 6. TYPE of Construction — (Please indicate by X) p iK4 Wood Frame ( } Masonry 1 1 Steel ( 1 7. PLANS and Specifications y E No. 24 ' x 24 ' per plot plan, sped€ ications and application . e� w rt 8. Proposed Use t7 Two-Car Detached Garage f°M Ps n to A. March 1 , 88 $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES 19 �t (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.l r° Dated at the Town of Queensbury this r10th Day of August 19 87 SIGNED BY a- for the Town of Queensbury Building and Zoning Inspector �,.? TO DE COMPIXTED BY DLDG . DEPT. ©� ereensaeere� Application No. Permit Issued 19 �UIL.DING and ZONING DEPARTMENT Permit Expires 19 _ "("C]W04 £ �- slay and Fnsbu nd Road, R. Q. 1 Box 9B Zoning Desig�aytion E?ueensburY, New York 72801 Variano0 No d /j Site Pl Re'V1eW N LU 41, 7q " C!- Appiov b�, . 11��11LL3s AUG 0) APPLICATION FOR Ei!�iL It*]G 6c �` pEF'T BUILDING AND ZONING PERMIT � ��G- f/AtJO l �? 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 : E45- ''r L�AJ7 GSh,EL� _ P . O. Address/ /� [7 T.TE� _/�6^0 + 140rMS i5�,�`/Swwww J V f24&el Tel . wwwwwww _ _ , Property Location : .gs .49 06yf '" Tax Map No . street number or building lot number Subdivision name Cif applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : E .RBd E Name P . O. Address Tel . No . Nance of builder J491 /je­­' Address Tel . Name of plumber e!M Tel . Name of mason ddo oc Address Tel . t NATURE OF PROPOSED WORK : µ ZONING INFORMATION : .X.Constructi.on of a new building A PLOT PLAN MUST ICE 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 ) ` whath;w:r existing or Proposed and indicate all Ocher worg (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 fi1ZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic dispokal area . * * COMPLETE INFORMATION REQUIRED BELOW , size of property ft X ft . * Existing buildings ) Sized^ft X�49_ _ ft . * PROPOSE[? BUILDING AND USE : * Existing building ( s ) Use / F#CWAV/i 'JK Megea Size of rdc:w structure ft X JL4/ f it Foundation-pier sla crawl/partial/full '" Proposed building , distance from property linr: (Circle one ) Front yard / 7J� i ft hear yard Qd � f. t No , of stories (habitable space) / ,� Side yards 3'd ` _ft and /20 ' ft Height ( grade to ridge ) ft • If on corner , :setback from side street £t If residential , no . of families Now of rooms ( excluding baths ) * OCCUPA CY INFORMATION No . of bedrooms PRIMARY BUILDING - 11n . of bathrooms * `One family dwelling 'Primary heating system �-^ Tyke or fuel x Two family dwelling Now of fireplaces to be installed — * Multiple dwelling / Number of units Will a wood stove be installed? -- * Permanent occapancy C&tatral Air conditioning? * Transient ocrcup.aricy * Business STYLE, PRIMARY STRUCTURE Industrial Contemporary Log cabin other Raised ranch Mansion Duplex * If addition , what wild_ use be . Split level Old style Bungalow Cake God Cottage Other " ACCESSORY BUILDING- colonial Row Town House * -Detached g3ragC/arse car/ two car car ( CIRCLE ONE PLEASE Attached garage/one Car/ two car/ car * * * * : • r • * * x # r • : sr s * Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION - 5 , ©06 _ - _ - - - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE Or ` HIS SHEET, TO BE COMPLETED ! Form BPA 4/86 md--vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction, [wo raRR fire safe etc . Will any second-hand or ungraded lumber be used? If so , for what ? Nd Poundatton wall material _ ! d+S/ a&` +"E' Thickness ,r Depth of foundation below grade (to bottom of footing ) 01 � ICldNdLi!//IE ys'4AB� Will there be a cellar? AAA heated or unheated? ,V6 Floor 5q. footage aE ft Will there be a basement? A,p Will any portion be used as living space? OW4& ( If so, what portion? sq , ft . - - Type of use? Type of roof - slo flat/shed/other Material of roof Size , wood studs "' X t,I " spacing !lam "o . c . length _ 8 ft . Joists ( floor beams ) lst . flexor RX '" spacing ""o . c . span ft . Joists ( floor beams) 2nd . floor ""]{ ," spacing "o . c . span ft . Overlays ceiling beams ) '"X "" spacing ""o . ,c . span ft _ Roof rafters "'X it spacing o . c . span ft . ` c-i trusses re-engineered) spacing Z4 "o . cm span z. q ft . Exterior wall finish �/6w ,3'/,if/r� u Of what material? &24dw Interior wall finish _ j7W40VA If a garage is to be attached , describe materials 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? r—t Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth -• ft '- in . Water supply - Municipal or private. well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft. . (A separate application is necessary for any repa3.r or new installation of septic system) Town of Queensbury A F ; A V T County o€ Warren STATE OF NEW YORY 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 e:1. 1 Provisions of the BUILDING CODE , T14E ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, wiaetrher specified or nor. , anc; brat such work i� authorized by the owner . SWORN TO .BEFORE ME THIS Signaturs�+___ _ � • - _ _.,-__.-__ .. er , owner " s; agent , arcnitect , contrae:tar day of 1g Notary Public , Warren County , N . Y . • � » * r * rt w w # w * re s * : * r Y'e Mr ,► ♦ ♦ k A ak w w w * * s ye ,. �r * * w * w w ,w : r x SPECIAL CONDITIONS OF THE PERMIT . By p'V 1+11NG ID IF SU%L.ID NG and X D 1 BOX �a b to gay and Viaviland R©ad. R' 12801 Queensbury, syew Park REPORT Lf i f_ i] I NG LOCATION Date �ootin9�'F'1er Farms f,o�datlon watexProofing .iacicf ill Framing Roof ing Siding 1sonry veneer_�� �-- p�ugh P1 ping telief Valves Ext , Porches ,.I,ished Floors exior Trim Tnt it gs� stairs & ilea- � Cellar Drain Concrete Flo rs- - P11pg - Fixtu sue --- f Gar . FirePr ofing Door Closer ors smo)ce ,Da tea Chimney Ir�scaLPTIOK F,oun dat ion Floors walls Ceiling C*fRi F IN ALL ov ELE �-- n�l Vu v n� �ov�i..�--- Final Building Surve-,y plexti! i ul inaPection (call sche ed when► ready7~ Remark.s- r nspector B ds. '� 6/86 and-vl 8U3LDINO DEPT. COPYIO� APPL THIS CAT WITFORM 46-EL,H BUILDING NEW YORKNBOARD REDIRE UNDERWRITERS. r/DATE CITY OR ._ TOWNSHIP// .I/3,6[I�', COUNTY !Y VILLA4E STREET AND NO. OR POLE NO. ROAD AND POLE NO. CR SS WFEN E ATETS IS SECTION ' BL K LOT F . PREMISES L / BUILDING OCCUPANT'fk,... �r �R- OCCUPANCY NAME , .+"" `' c•• TEL_ # OWNER NAME AND ADDRESS evcFAWYNT SUPPLIED -s' , �*'J FROM THEIR :: ._ ,. -1 f OFFICE BY Il--yy WORK .��/ y—� DEFECTS BUILDING NEW 4L0 LJ f 15 NEW �151 ADOITIONAL CI REMOVED 0 Is LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Filc'brrea m BRANCH OFFICE USE NUMBER OF OUTLETS Lena Rptwiw MOTORS HEATERS CIRCUITS ONLY w A.W.G. INSPECTION boon. Ddlirlp Sidii AtLtlt't Switch Pendent BredtaI Ne, TYPO Each Na' Em No. G,anpe Walk Raesp'b Out- side bw Setae ntant let FI. 2nd FR. 9rd FI. 104 NOT USE THIS SPACE. REMARKS! LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE' This apPliaetian is intended to caner the abovs•tisted equipment to be inspacted but if at time of inspection there is found ll"itiarhet equipment not ■bare listed, you ua auMwized to make tlhe inspsedan end ediust dte fee to ewer the additional equipment, as proeidod by the applicant. TOTAL ELECTRIC SIGri S12E OF LBSIIPS MAINS WATTS FEEDERS CHARACTER CONEXPGEALED ED GAS TUBE SIGNTRANSF4RM£RS OF VA OF WORK INUMBERI tCAPACITYI WORK TO BE COMPLETED SIZE OF SIGN STARTED SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN WDING 11 I N OR TION RE ASSTED N£tw o OLD CJ POSSIBLE AVOID DELAY SY GIVING FULLAND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLIC TION PRINT NAPPLI AM�,, EE,/�/*AA/ ND ADDRSS/P // SIGNATURE w^ (�r�[lu NAME ANT 'ah vs' 4c �'"`� � �OF APPLkCANT f " / /vIV 1r^,Y^ _.+ TELEPHONE #_. � ` " STREET ADDRESS /! y% LICENSEzip NO. CITY Oft / �i/J,S J`'�F/�sj / _ CODE /+���, WHEN APPLICABt-E POSY OFFICE yf/ l dhs A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUI LDING EL (REV. +Ise) 41*0/ 4r fQ W o ILO S l 3` e' S Rive La*j d w „ 4�nw r P- fN � ice + 30 s . 39 w o z ¢ �ar''� fir �0 F I 4 0<0 Al I hereby Certify to AL.BANY SAVINGS BANK that this plot plan was made from an actual survey an the ,ground according to record descri ;3tions and shows locations of bounda. rl and improvements on the premises and there are no -.. . - oa.chmant of er Chan sh©wn . c. rPIN V .: ✓ ram'..--` .r`��' - -- -- _ _ - - - - DATC. M A P o rr A 5 a M v 6 %t a WE n-- r440AP �0 LAND *�'U •; i .. ..� a -�. le'v *k Ml t YRMOG F`� row* of [,{ sErc ►+sB � +t t \0xVzv." COUNTY NY , r "" • I SCALE 1 " DATE Seer.- -$� -- F -. ........ . . . .- -- - - - - -- - - -- - - .. . LAND SUR4' EYORS . GLENS FALLS, N . Y. • • I I P S = IRG1N PIPE SET +r * � .'M See f1, Y. S rl.,r�e L ice_ �+10. 7 �k•i i I P F IRCIN PIPE FOUND _ _.. _.- . . - - _._--- lip i � � r +� 'R.¢JtsEA dr T+ SFk... 'Rt.l►4 _ �M O4T x�Y1