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1987-558 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-558 ,''']`''•�,�,,,�y WARREN COUNTY, NEW YORK Alberta Wrzesinski Dieffenbach a PERMISSION is hereby granted to r OWNER of property located at 39 Heinrick Circle Street, Road or Ave. y in the Town of Oueensbury, To Construct or place a Addition—) xtendin�age 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 _ pyYNER'S Address is 39 Heinrick Circle �p r Glens Falls , N . Y . 12801 "Y m "I rt w 2. CONTRACTOR or BUILDER'S Name Xi Pete Walsh N fD 9b r• 3. CONTRACTOR or BUILDER'S Address °0 4 2373 ReservoirRd . S . Glens Falls , N . Y . co rn 4. ARCHITECT'S Name fG 1� n 5_ ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) w .o fc�j Wood Frame I ) masonry 11 Steel 11 W (o 7. PLANS and Specifications H h'• n No. 12 ' x 20 ' per plot plan and application . x` c5 w r! 8. Proposed Use Extension of existing 1 car garage to 2 car garage to a n one-family dwelling. n. 10 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES March 1 , 19 $$ pG7i w IIf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the tM 0 town of Queensbury before the expiration date_) August 87 CD Dated at the Town of Queervsbury this 21st Day ©f g 79 Cn Cn SIGNED BY '1104' /GC.Cr c: r'' - for the Town of Queensbury ... Building and Zoning Inspector r^rr TO BE COMPLETED BY BLDG . DEFT . G� J Application No . 0 �J©wre Crueere 3hter� Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 IM Bay and Haviland Road, R. O. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . AUG 2 v Site Flan evi No . .a BUILDING & CC�]^}DL OEP` Approve Qkr�)%fAPPLICATION FOR + PUILDING AND ZONING PERMIT I tQ � � 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 thr�i s property is : rg C /3 } W /2 l�s f i Ii� l�'*+U� ✓�"G ��1 P . O. Address` ...L— ee�LIL +Q k (t` e 4 a( . L eo/' L L ... /� L LS�/L'�"` ' /c� O/ Tel . Property Location : �J / /� ft�v �2f GL�� � �� �� � S 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 : Name P . O. Address rr / > Tel . No . Name of builder O k /t� 9 SK Address �. .a3 a ^� rr2 Ja^�I � Tel . Name of plumber Address Tel . Name of mason �5- , 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 , 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 * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . * * COMPLETE INFORMATION REQUIRED BELOW . * Size of property _�, ft X / 6 0 ft . Existing buildings) Size ft X ��ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use 0,6 c -f�'-J,mI� fG- Size of new ucture /9- ft X ft r '�Founda -:pierr s ab/crawl/partial/full Proposed building , distance from property line t tcircle one ) f 'ejo / Front yard _4 } _ _ ft Rear yard ft No . of stories (habitable space) l * Side yards 3 ft and ' z ft Height (grade to ridge) 13 ft * if on corner , setback from side street ft if residential , no . of families No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No . of bedrooms PRIMARY BUILDING - No . of bathrooms * �L_One 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 wood stove be installed? * Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other Ranc Contemporary Log cabin if addition , what will use be? ed ranch Mansion Duplex Split level Old style Bungalow * ram-J �� I �� I r 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/. -,-_-carG �i * * * x * * * x * * * * * _Private storage building 'ESTIMATED MARKET VALUE OF * "Other CONSTRUCTION "`=FORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! BPA 4/66 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS . r Type of construction , wood frame , fire safe , etc , yli� Will any second-hand or ungraded lumber be used? If so , for what ? seeFoundation wall mater ickness ial �G Depth of foundation below grade (to bottom of footing ) Will there be a cellar? ;t.ti Heated or unheated? Floor sq. sq ft Will there be a basement? _ ,r ..--Will any portion be used as living space? ( If so , what portion? sq . ft . - - Tripe of use? Type of roof - sloped/flat/shed/other Material of roof Size , wood studs 27n _lox L�{ "+ "' spacing "o . c . length _1K_ f t _ Joists ( floor beams ) lst . floor $Ix " spacing "D . c , span ft . Ile - Joists ( floor beams ) 2nd . floor " X Is spacing "D » c . span ft . Overlays ( ceiling beams ) pL. lox 11 cing�r� "o c » span ft . Roof raftersAs& "X spacing o . c . span ft . Roof trusses (� ' -� } spa i g j r;,� "o » C . span � ft , Exterior wall finish —Of what material? Interior wall finishcj�� 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? _)12 Height a ve roof ft _ Depth of chimney foundation below grade ft . Depth of .fireplace hearth ft , in , _ ,/W Water supply - Municipal or private wellPC� SEPTIC SYSTEM _ Distance from ANY private well ( includ.fng adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren r f 1 1 e c t n A �r t STATE OF NEW YORK 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 THIS Signatur rr, wney __Owne ' s agent , ar irect , contractor d o 19 Notary Pub ic , WarNenCounty , N . Y . SPECIAL CONDITIO PERMIT ; By------------------------- --------- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ,ROADS QUEENSBURY, NEW YORK 9�'- 5 260k TELEPHONE (518 ) 32 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION yRECEIVED +r L --� ----- NAME LOCATION G DATE J /�r �� APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ',FORMS FOUNDATION/DAMP-J�`ROOFIN+G BACKFILL APPROVAL '' ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION= FOUNDATION FLOORS WALLS CEILING 6*, VINAL INSPECTION= CHIMNEY HEIGHT" ROOFING SIDING PS EXTERNAL PORCHES/S - STATRS-CLEARANCE & RArLS PLUMBING FIXTURES RELIEF VAL E INTERIOR TRIM/PRI ACy DQORS FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSER (S) SMOKE DETECTOR FINAL ELECTRICAL INSPECTION� ��-- FINAL APPROVAL O CONSTRUCTION A SIGNED CERT"IFI�ATE OF BUILDINGCUPANCY MUST PE DEPARTMENT OBTAINED FROM THi THESE PREMISES ARE OCCUPIED: REMARKS: co XJNSECTOR BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / Caac cr LOCATIONL^:e� ,ry�' c s� Permit NO . I " [7 APPROVED YES NO Footing/Pier Forms dd Found@kti.on WaterpKoofing Backf i 111� Framing Roofing ` Siding Masonry VenerRr Rough Plumbing Relief Valves - --- Ext . Porches Finished Floors Interior Trim__ . Stairs & Railings_ N6 _ .- Cellar Drain Tile Concrete Floors plbg _ Fixtures Gar . Fireproofing Door Closers _.._ Smoke Detectors a Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY AI' ROV Final Building Survey Next scheduled inspection (call when ready ) Remarks- I i r!- �- fff -- is 1I �' L Building Inspector 6/86 and-vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT y DAY & HAVILAND ROADS fin QUEENSBURY, NEW YORK I2804,_ TELEPHONE ( 518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSFEC ION RECEIVED NAME LOCATION DATE 1 PERMIT # _ APPROVED /c� YES I NO i FOOTINGIPI S MONOLITH' C POUR FORMS FOUNDATINAMP-PROOFING BACKFILL A ROYAL ROUGH PLUMBIING FRAMING ELECTRICAL ROUGRf-IN INSULATION: F' FOUNDATION FLOORS ,WALLS /CEILING �.. FINAL INSPECTION: + i CHIMNEY HEIGHT ! l/ ROOFING SIDING EXTERNAL PORCHESISTE S STAIRS-CLEARANCE & ILS PLUMBING FIXTURESIR LIEF VALVE INTERIOR TRIMIPRIVA Y DOORS FINISHED FLOORS-.., GARAGE FIREPROOFIN DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INS CTION FINAL APPROVAL OF CO STRUCTION r A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REM,ARKS0 f ble- Lp Cox,' 'La INSPECTOR Odle + � r� BUILDING and ZONING DEPARTMENT / V Bay and Haviiand Road, R.D. I Box 98 [ ' Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME f� -f LOCATION Date-E?"/a-F7— Permit No * ✓ = APPROVED - YES 130 Footing/Pier Forms f C,,p6undation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Parches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg _ Fixtures Gar . Fireproo ' ng 'Boor Closers Smoke Detec rs Chimney IN SULATlo Foundatio Floors Walls; Ceiling FINAL ELECTRICAL INSPECTION; DRIVEWAY APPROVAIt Final Building Survey _..� Next scheduled inspection ( call when ready Remarks- tof Building Inspector 6/86 and-vl 4�. BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. F1LE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED. r, TEJMP'. * DATE CITY OR VILLAGE - .. TOIYNSHlP r COUNTY . STREET ANO NO. OR ROAD AND POLE NO, POLE NO. BETWEEN WI44T TWO CROSS STREETS IS " PREMISES LOCATE07 � SECTION BLOCK LOT OCCUPANT'S BUILDING NAME k. 00CUPANCY . OWNER'S NAME - AND ADDRESS r _ _ TEL. CURRENT SSU PLIED r} FROM THEIR - _ OFFICE BLIkt.O1NGDEFECTS I NEW C� OLD �' IRK NEW © ADDITIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Mo. ReeeptMlei BRANCH OFFICE US£ NUMBER OF OUTLETS MOTORS HEATERS CIRCUITS Leer ONLY tmn X.P. Wet A.W.G. Collinsllins� Bide Atbid vt Wee! RKp.R SrHeh Fettdetl[ BrwtlaM Na 3yfle Each Na Each Na Gauge INSPECTION Ouv little Sul► bees Beer elect In Fl. 2nd Fl. Ind Ft. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: OO NOT USE THIS SPACE. This aPPlit:ation is intended to Caref the abare-imed equipment to be Nrspected but it at time of inepaceian twee is found ddixional equipment not abaw listed. you are aittPotiead to make the inspection and adjust Ilia fee to cones tits additional equiPme.t, M ptwitlad by the aPPl:cn^t. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE {NUMBERI (CAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN ILDI INSPECTION REGU£STED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIY LNG FULL AND ACCURATE IN F OR MATT ON. ALL SPACES DATE OF MUST BE FILLED I APPLICATION MAY BE RETURNEge APPLICATI PRINT NAME DRESS- ' SIGNATURE NAME OF '' a� OF APPLICANT. APPLICANT < y > TELEPHONE ' STREET ADDRESS --3 CITY O CID _Z4e-y.WHEN APPLICABLE LICENSE NO. POST OFF FICE - CODE 46 CL (REV. V86) A'SEPARATEAPPRICATIC MUST BE FILED FOR EACH SEPARATE BUILDING