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1987-570 BUILDING PERMIT � TOWN OF QUEENSBURY � No. 87-570 � WARREN COUNTY, NEW YORK ', '�- ' ' 1 La `o PERMISSION is hereby granted to Wayne & Susan Pelalc j rs, I OWNER of property located at 20 Dorset Pl , Street, Road or Ave. cc in the Town of Queensbury, To Construct or place a Detached two-'car 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 Oueensbury Building and Zoning Ordinance. so 1 . OWNE R's Address is Q, 20 Dorset PI w Queensbury , N . Y . 12801 cn az 2. CONTRACTOR or BUILDER'S Name b ro Same 3. CONTRACTOR or BUILDER 'S Address 4. ARCHITECT'S Name O t7 a ri 5. ARCHITECTS Address r r r7 ro 6. TYPE of Construction — (Please indicate by x) ( X1 Wood Frame I I Masonry ( ) steel ( 1 7- PLANS and Specifications No. 24r x 28 ' per plot plan , specifications and application . �y ry R W 8_ Proposed Use n Detached two car garage to one family dwelling a rt E a t� $ 10 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES March 1 ' 1t1$8 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ousensbury before the expiration date.l OQ Dated at the Town of Queensbury this ` 2Sth� Day of August 19 87 � SIGNED BY / / �C-a+� + .x . for the Town of Queensbury Building and zoning Inspector 16100e TO BE COMPLETED BY BLDG . DEPT . / Application No . f :_: _JOWIS C3utk'6IZ3hEtI' h y f Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 S�DL,I _ Bay and Haviland Road, R.D. I Box 98 Zoning Designation AUG � � Queknsbury, New York 12801 Variance No . Site Plan Review No . BUI DiN D 7G 8c CODE EPT � s Approved btu r APPLICATION FOR ■ IN IP { PU I L.D I Nr AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CCNVSTRUCTION . 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 (�� � {Jl� � � LILA <�li� P . O. Address c - ���5«'. IT PL- Tel . 3 , Property Location : rt•..�-0, Tax Map No . Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Namer P . O . Address Tel , No . Name of builder ( ' �y p �� � C Address Tel Name of plumber \ Address Name of mason Address Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : Construction of a new building A PLOT PLAN MUST BE PREPARES] 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 x of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . Siae of property ltrz, X /44S- x :2 5 r ft X /�7T ft . Existing buildings) Size ft X ft . PROPOSED BUILDING AND USE : Existing buildings ) Use enev cGfJl t"Y Size of new struct e cgyft X j . ft Foundation-pie /slab crawl/partial/full " Proposed building , distance from property line circle one ) Front yard S-0 ft Rear yard ? 5 ft No . of stories (habitable space) Side yards �+ Ga ft and s ft Height ( grade to ridge) ft • If on corner , setback from side street ft If residential , no . of famine C7 ba kEg * OCCUPANCY I NF012t�VAT I CN No . of rooms ( excluding No. of bedrooms A�. PRIM BUILDING - No . of bathrooms e family dwelling Primary heating system Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be installed Permanent occupancy Will a woad stave be installed? * Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other Ranch Contemporary Log cabin If addition , what will use be? t Raised ranch Mansion Duplex Split level Old style Bungalow =Cap Cottage Other �` C ESSORY HiIILDING- wo Row Town House * Detached garage/one car/ two ca car CIRCLE ONE PLEASE ) '" ttached garage/one car/ carcar * * r * * * r x * * * * * * * * * P ivate storage buildin ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED , Form BPA 4/66 and-vl BUILDING PERMIT APPLTCATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . C.✓ Will any second-hand or ungraded lumber be used? If so , for what ? A-.IC,) Foundation wall material Vep !3 Thickness 5 F Depth of foundation below grade (to bottom of footing ) Will there be a cellar? .T./O Heated or heated Gc N Floor sq. footage ('� ; sq ft Will there be a basement? .2"O Will a onion be used as living space? .� ( If so , what portico ? sq . ft . - - Type of use? Type of roof slope flat/shed/other Material of roof Size , wood stu " XT CAL, spacing f6 "o . c . length `ft . Joists ( floor beams ) lst . floor "X it spacing "o . c . span ft . Joists ( floor beams ) 2nd . floor Sao, "X4, IN spacing. _"o . c . span__ ft . Overlays ( ceiling beams ) "X spacing "o . c . span ft . Roof rafters "X " spacing o _ c . span ft . Roof trusses (pre- engineered) spacing _"o _ c . span ft . Exterior wall finish - Of what material? Interior wall finish _Q,.� / L If a garage is to be attached , describe materials to be used for FIRE SEPARATION : is there to be an opening between g rage and dwelling? If so will a Fire-rated door , enclosure , and s y evince be provided? Will a flue-lined ch ' neled? Height above roof ft . Depth of chimney founeatrade Ft , Depth of fireplace heartin . Water supply - Municipal well SEPTIC SYSTEM Distancerivate well ( including adjoining properties £ t . (A separate applicat is necessary for any repair or new installation of septic system ) Town of f Warren A F F I D n V I T STATE of NEW YORK County of warren 1-1 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 , whether specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signatures -__ -- ��it ----- -------------- - Owrie o. is agent , arcnirect , contractor day of 19 Notary Public , Warren County , N .. Y . SPECIAL CONDITIONS OF THE PERMIT : B` ----_--__ ___-__ --- ------------------- �l Queeny +�'' Ozt/i1 AfiT{'++ Et4T BUjLpifiG and Zot`1 j4G L3EF' i goX 98 Bay and Havitand Road, R G12801 QueensburY. New York , s REPORT 1301 LDItiG iN5P C1C3R LocArxo►4 0n } 5 �r per NO , �* pc t * * * * * * * *� •* * APPPIOVFD YES Footing/pier porms Fo�dati+an W aterpr W f in9 pyac3cf ill Framing Roofing Alk Sid ing --- MasonrYp Veneer '_ �_ --- Rcru3d Illrbinr3.��- � - Valves_� ----'__ �--- porches F,xt . loors__�_- F i.n ished �---- Interior Tri'91 Stairs FARailin,9s Cellar Drai Tile n Concrete Floors plbg w F ix+G,xres Gar . Fireproofing poor Closers s Smoke Detector Chimney 3.1.3SULA`CI4'PZ p,oun c7atiion 'Floors Walls Ceiling IL3 SPECTS Gt3�,--- FIN AI 'SLECT CA'L �- DRIV EW A.Y JNY (3V Ax survey ~-- �Final Building h Next scheduled insp fiction Ccall wey' ready? Remarks_ � /� � 57Ke (/ R.uildin InsL�ec for 6/S�' ma-vl 4 `�Yueer� abu�'y zpNS1 4G DEPARBUILDING gul�o� G and �. S Box 98 f i� and Haviland RQa o SJ 1 o1 L9 '� { Oueensbury. New r� BU ILOING INSPECTOR S REPORT NAME Vl�.nfa�v Y'rswk+ 'Dot) I_OCA.T I • ,� Permit No . -- 'YE No kooting/P� eY PPPROVEO FormS Foundation Waterproofing Sackf ill graining Roof ing g iding r� Masonry veneer �----- RAugh Plumbing Relief valves -� gxt . 'Porches Finished Floors Interior Tr iin Stairs & gailingS Cellar Drain Tile Concrete Floors plb , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney Irl suLp,T tort Foundation Floors walls Ceiling FIL3AL ELECTRICAL IT35£'ECTZ - 17ATVEWA'1t A-PIMOVA Final Building Survey Next scheduled 3nsP eCtiou (Call w hen ready Remarks- Building Inspector 6,/'8f3 and-'�r1 BUILDING DEPT. COPY OF APPLICATION FORM 46-EL. NEW PORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITFI BUILDSNG DEll WREN REQUIRED. ' 7BMP. B DATE GITr aR TOWNSHIP3,1 VILLAGE POLE STREET ANO ND. OR LOT ROAD AND POLE NO. SECTION .'f iiiiii III iiiiiij K BETWEEN WHAT TWO GROSS STREETS IS OUILDIANG MCr PREM# L TE '� . ;� OCCUPANT'S VFL. NAME J ; 1�L OgNµE" NAME } :�- 5 OFFICE AND ADDRESS .F . ,L . FROM THEfR DEFECTS S PPLIED . : .i WORK_ ORK NEW h '��"•.,,ADOITfONAL. REMOVED . �—{ BU1t..D#NG NEW MOO 1$ Is LIST BELOW ALL EClUIPMEfiIT WHIC14 YQl1 IFISTALLEI] BRANCH OFFICE USE No. of FlimilavIDII of MOTORS HEATERS CiRCWTS ONLY R NUMBER OF OUTLETS ►AMMI A_Ill INSPECTION N.P. Na Ewd` No. on"" L' Swt wh m`"wI No. TTPw Ewdt e+r, Cai#ino 1 necw b Pwndwlll Out• skis Subr bl sew anon III F1. 'had FI. 3rd FL QO NOT USE THIS SPADE. REMARKS: LIST OTHER ELECTRICAL 60w5 NOT SET FORTH ABOVE: -an loam 's feulad wddisiond •Wiest " aboww tis'Iwd. w-Iistwd wquiP+nercat to bw ioaPwCt+d was if at aims oI wr Ids•# by � apPhealrt. Tnis appticat:on K Intwnded to Coaror tlse abl>Al,edlun t#su Iww to cwwr tho additional eRuiP�• aw moo"" TOTAL yola are suthoria:wd to make thw illaPwctinal 'aIM ELECTRIC SIGN WATTS LAMPS SIZE Of FEEDERS MAINS E1CpOSED GAS TUBE. SIGN VA CONCEALED TRANSFORMERS OF (CAPACI'fr1 CHARACTER {NUMBER} OF VWORK SIZE OF SIGN WORK TO BE GOUAPLETED STARTED UNOERGROUND, MAKER 'SERVICE OVERHEAD OF SIGN ENTERS OLD I DI NEW INSPECTION REQUESTED +_ N ON OR AS NEAR AS DATE OF 1 �� POSSIBLE APPLICATION {t AVOID MUST SE DELAY LLED 51VING FULL OR APPLICATION ON MAY BE RIETURNEM DTION. ALL SPACES ''��//'' gIGNATUREt f ' Err - PRINT NAME AND ADDRESS !, X OF APPLICANT NAMEOfi # a III" - APPLICANT ee - F1 TELEPHONE IL.. .:.. }' f LICE NO. STREET ADDRESS CIDDE IWHEN APPLICABLE G17roR rc rv `` f.- 1 4 POST OFFICE A6 Er_ LfeL.v. I/es1 ' A SEPARATE APPLiCATIQ'N MUST BE FILED FQR IEACH SEPARATE. 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