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1987-585 BUILDING PERMIT TOWN OF QUEENSBURY � No. 87-585 0 WARREN COUNTY, NEW YORK -?�02 jam _` � � `Z o PERMISSIONis hereby granted to Elliot Hirsch i 1 OWNER of property located at 15 Dixon Court Street, Road or Ave. � in the Town of Queensbury, To Construct or place a Addition to 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 15 Dixon Court Queensbury , N . Y . 12801 0 x 2. CONTRACTOR or BUILDER 'S Name r~i SA n Patrick Whalen -T 3. CONTRACTOR or BUILDER'S Address P . O . Box 933 Glens Falls , N . Y . 12801 - Ln 4. ARCHITECT'S Name G W SS 0 C'3 0 fi. ARCHITECT'S Address C rt r7 B. TYPE of Construction — (Please indicate by Xi ♦KX Wood Frame ( ) Masonry ( ) Steel ( I 7. PLANS and Specifications No. 14 ' x 18 ' per plot plan , specifications and application . PER VARIANCE #F1277 � a S. Proposed Use r~ Addition to garage - one family dwelling o rr !J $ 10 , 00 March 1 , 79 $$ PERMIT FEE PAID - THIS PERMIT EXPIRES (If a longer period is required an applicatlon for an extension must be made to the Building and Zoning inspector of the tit town of Queensbury before the expiration date.) Dated at the Town of Queensbury this � y31st Day of August 19 87 SIGNED BY / ' J 6� �� for the Town of Queensbury Building and Zoning Inspector /_,J TO BE COMPLETED BY BLDG . DEFT . c� Application No . ����}/}/FF{{ _J`own o/ Queen36tcry permit issued 19 BUILDING and ZONING DEPARTMENT permit Expires 19 AUG 2 7 M1 Bay and Haviland Road, R-D. 1 Box 98 Zoning Designation Queensbury, New York 12801 variance No . �� Site Plan Review ffio . Approved by : APPLICATION FOR ff BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLCIWING . 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 :Tyl.y% Ewtiu -k' P . O. Address 1 5 �D i xo, vt cr1uky- k Glev-is ELUl -, An , I l 6s:3- t Tel . Property Location : I S- �0"; xc-, y-1 Tax Map No . IG Street number or building lot number Subdivision name ( i£ .applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : �, rf ra l l c -h . .► 1 S Name P . O . Address Tel. No . Name of builder � l 1 =� �c� t rr w� Address `Scj vu,(z art �a Gc dCc Tel . Name of plumber_ Nc.) Address Tel , Name of mason ,NcA f Kj.4 Address Tel . NATURE OF PROPOSED Wt7RK : Cxra '� l +5i "' ZONING I NFORMAT I ON : Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , S Addition to a building - (C drawn reasonably to scale and attached hereto , Alteration to a building `1 J * 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 ) Size ft X ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure 104106Li ft X��('ft Foundation-pier/slab/crawl art! full * Proposed building , distance from property line (circle one ) No . of stories (habitable space) left " * Front yard ft Rear yard ft Height ( grade to ridge ) f ,Ab 'C"a * Side yards ft and ft ft ' If on corner , setback from side street ft If residential , no . of families l No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No . of bedrooms * PRIMARY BUILDING No . of bathrooms x one family dwelling Primaryheating system g Two family dwelling Type of fuel * Multiple dwelling / Number of units No . of fireplaces to be installed Permanent occupancy Will a wood stove be installed? Transient occupancy Central Air conditioning? Business * BUILDING STYLE, PRIMARY STRUCTURE Industrial �. Other Ranch Contemporary Log cabin If addition , what will use be? Raised. ranch Mansion Duplex � Split level Old style Bungalow pe Cod x+sk1W Dttage 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 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 : a c Acl i v) � Lo '1 l�'lo vi Type of construction , r, od ra emfra emf ) fire safe , etc . Will any second-hand or ungraded lumber be used? if so , for what ? Foundation wall material r [ c c 4C ThicknessiV X e) Depth of foundation below grade (to bottom of footing ) -F0 Will there be a cellar? Ns Heated or unheated? 0 < ) floor sq . footage , � sq ft Will there be a basement? .,.Will any portion be used as living space? par, ( If so , what portion? sq_ ft . - - Type of use? Type of roof - to ed flat/shed/other Material of roof f},S];�hc. 4 C. t ¢ s Size , wood studs_ _nX -�-+ IS spacing__, i _{,�_."o _ c , length fir', ft . F bcvt ku5 � r¢;vi cvcc:d . Joists ( floor beams ) 1st . floor SIX " spacing "o . c . span ft , Joists ( floor beams) 2nd . floor "X to spacing "o . c . span ft . Overlays ( ceiling beams ) `z "X� " spacing [ L,F "o . c . span1S'q" ft . Roof rafters --" X��" spacing__ __�,�_o _ c _ span 6b ' ft . Roof trusses (pre-engineered) spacing "o . c . span ft , Exterior wail finish C " ()Docd , c kc gk2x: " % Of what material? Interior wall finish. Nc, ,,, q.. 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? tqc> 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 , 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 repair or new installation of septic system) Town of A F F I D A V I T STATE OF NEW YOR.K eensbury Warren County off Warren 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 all provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, uchether specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature_ Owner , owner ' s agent . arcnznect , contractor day of 19 Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : By---- -----------................ ... _-- aF QL 'E"SBURY RTMENT 6) I OWN UPDEPA `?� .�' BUILD-1& HAVILAND ROADS BAY w YORFC x2$ a� NEW Qv,vENSBUFZY , 5 792-5832 TELEPHONE ( g�paR'T WILDING INSPECTOR' S � REesrvED `� REQUEST FOR INSPECTION NAME LOCATION PERMIT ��tL- -�=��~~--- DATE! �? �~� APPROVED YES NO FOOTINGIFIERS MONOLITHIC POUR FORMS FOUNDATION/D F'_PRODF I NG�f—�--- BACKFILL AARCJVAL ROUGH PLUMBIVG FRAMING g� rN Oi�F ELECTRICAL R INSULATION : FOUNDATION FLOORS WALLS CEILING TION : VFINA2, INS PEC CHIMNEY HE ROOFING SIDING PORCH.BSISTEPS�-r-- EXTERNA CLEAR PLUMBING ANCE & RAILS STAIRS FIXTURESIRELIE INTERIOR F VALVE TRIMIPRIVACY DOORS INTERIOR FINISHED FLOORS1cING GARAGE FIREPP00 DOOR ,LOSER(5 ) S �- SMOKE DETE INSPECTION FINAL Ex,ECTR CAL FINAL AppRO AL OF CONSTRUCTION OF OCCUPANCY MUST BE C RTIFICATE ryEPARTMENT BEFORE pl gIGNED OM THE BUILDING OBTAIAIED ISES ARE 0CCUPIEDF THESE PRE REMARKS : INSPECTOR �ueensbury 0 f3U1LC7ir1G and ZC]N11dG DE PARTMEr4r 98 gay and and Y©k 12801 ©ueensbensburY, Nev4 Btf I LD I NG INSPECTOR ' S REPORT 1R NAMELOCATION L� �-- Permlt NO . Date * ,,PpRoVED - YE oting/Fier Forms Fa,Lmdation Waterproofing Backf ill V ramirxg Roof ing Siding P4asonry veneer _ _---- gougyi ...J.---- Relief Valves_ - - �.- Ext . Porches Finished Floors Interior Trim stairs a Railings cellar Drain Tile Concrete Floors pl,bg . Fixtures Gar . Fireproofs , ,or Closers Smoke Detector Chimney 213 SU LAT 1014 Foundation Floors Walls Ce i 1 in g ' F1l+1AL kC'T �VALIDISPECTIC] DRIVEWAY ApP survey�� �---� ~ - Final g�sildi � TN,,.t scheduled insPaction (call whey` ready) Itemarlcs- fiuilding Inspector 6/86 and-vl /BUILDING and ZONING DEPARTMENT OV Bay and Haviland Road, R.D. 1 Box 98 AQueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ---- LOCATION Date ' /� Kermit No . Cf .APPROVED - YES NO oting/pier Forms / Foundation 'Waterproofing Sackfill Framing Roofing Siding Masonry Vence Rough Plumbin Relief Valves Ext . porches Finished Floor Interior Trim Stairs & Railing Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers Smoke Detector Chimney INSULATION Foundation Floors Walls Ceiling FINAL EL CT CAL INspECTIO DRIVEWAY APPROVAL Final Su ding Survey on ti c e --- (call when ready Next scheduled ins P ,,, Remarks- p� xv ectOr - Ins Building p 6/86 rnd-vl (�cc; J �, Add'.-C•�on '� V �y 19 2 d r�. .... .» 0, ° •� C6 is Q \ U q rk �