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1987-615 BUILDING PERMIT y TOWN OF QUEENSBURY No 87-615 � {{ �,, rr (� WARREN COUNTY, NEW YORK t4 Apr PERMISSION is hereby granted to David Sommer ' —s 216 NU. yn SV Street, Road or Ave. OWNER of property located at W . Sunse F I N in the Town of Queensbury, To Construct or place a Detached 2 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 Queensbury Building and Zoning +Ordinance_ t_ OWNEWS AddisIs 25 Nathan St . Queensbury , N . Y . 12801 � C CIA w 2. CONTRACTOR or BUI LDE R'S Name rn Same o ro ry 3. CONTRACTOR or B UI LDE WS Address 4. ARCHITECT'S Name ua C 5. ARCHITECT'S Address N ua n 9 C [o 6_ TYPE of Construction — {Please indicate by X1 I Wood Frame l ) Masonry I ) Steel ( 1 7. PLANS and Specifications No. 22 ' x 32 ' per plot plan , specifications and application M1, Cn w h S. Proposed Use I cr.. Garage for mobile home ro rt w h SU 10 . 00 88 $ PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 , 19 n (If a longer period is required an application for an extansion must be made to the Building and Zoning inspector of the Oq town of Queensbury before the expiration date.) N Dated at the Town of Queensbury this 15th /Day of S ePt « 19 87 SIGNED BY the Town of Queensbury Budding and Zoning Inspector 0640�0*e TO BE COMPLETED BY BLDG . DEPT . Application No . , - , ri -oF QOF NSB(JRY .Joeu►a IQ Permit Issued 19 r y1 ` BUlL[7,kNCa and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . cs, EP 91987 Site Plan Review No . lrj I . Approved by : 1 �} PLICATION FOR Vt. BUILDING AND ZONING PERMIT 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 : J t!)n d>7 M P. O. Address E3'" �JVA 7 1R X1 Tel . Property Location : l �r�'o S�z ..,A/S e� /VVA Tax Map No * f f Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARD'S BUILDING CODES IS : Name JJ�,, P . O. Address Tel . No . Name of builder /v�"Y� . Address Tel . Name of plumber Address Tel . Name of mason Address Tel NATI,I"E 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 lanes . 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 f ft X�- Existing building ( s) Size.� _ft X O ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new stY �Tft X ft Foundation-pie slab crawl/partial/full " Proposed building , distance from property line cle one ) ,I Front yard rj ft Rear yard " 7 ft No , of stories (habitable space) f * Side yards j'Z ft and f , may� ft Height ( grade to ridge ) ,�'� 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 One family dwelling Primary heating system * Two family dwelling Type of fuel * Multiple dwelling / Number of units Noo 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 ��X C0-� Ranch Contemporary Log cabin If addition , what will use lac? Raised ranch Mansion Duplex Split level Old style Bungalow Cape Cod Cottage Other * ACC OY BUILDING- colonial Row Town House * jetaR ched garage/one car/ wo cam car ( CIRCLE ONE PLEASE ) " Attached garage/one car/ two car/ car Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION $ �. - /} of �yZ`j - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED1 Form BPA 4/86 and-vl BUILDING PERMIT APPLTCATION CONTINUED - t � BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . 4 '� "/ Will. any second-hand or ungraded lumber be used? If so , for what ? A 0 Foundation wall material S.Z _ Thickness Depth of foundation below grade ( to b0 footing ) r• Will there be a cellar?/ -Heated or unheated Floor sq . footage ( sq ft Will there be a basement? �Will any porti-on be used as living space? -W` ( If so , what porVon' sq. ft . - - Type of use? Type of roof - sflat/shed/other Material of Y of /?✓� �S 'Size , wood studsx�" " spacing / " o . c . length p ft . Joists ( floor beat . floor " x spacing of span ft . Joists ( floor beams ) 2nd . floor _"x " spacing "o . c . span ft . Overlays ( ceiling beams ) c; '"X F spacing / "a . c . span 49Z2 ft . Roof rafters "x " spacing_�1 o . o . span ft . Roof trusses (pre- engineers spacing " o . c , span ft . Exterior wall finish /may / y ✓'/' Of what material? Interior wall finish Aeon o11r -- y If a garage is to be attached , describe materials to be used for TIRE 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? Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . ��, f/ Water supply - Municipal or private well � ' _e ' 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 Queensbury T� n t1 T STATE OF NEW YDAK County of Warren F D H V 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 Signature � r" ...........--------------------- -Owner , owner ' s agent , arcnirect, contractor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : B5'------................_---------_.. .... i � cr eon 0 / Q"deenik " ry BUILDING and ZONING DEPARTMENT f3aY C]ueensbury. New York Box $8 128 BIfILDING INSPECTOR ' S REPORT NAME � -� LOCATION i7ate �� / g / Permit I3© . * * * * x * * * ApPRQVFD - YES NO Footing/Pier Formes Foundation Waterproofing Backfill Framing Roof ing Siding Masonry Vene Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plf,g , Fixtures Gar . Firepraofi Door Closers smoke Detecto Chimney IN SU LAT I ON Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION�.�_ DRIVEWAY APPROVAL, e inal Building Survey .. inspect (call when ready ) Next scheduled Remarks" Building Inspector 6/86 and-vl >901lei town of Q"ern31 t4ry 0 101k f / BUILDING and ZONING DEPARTMENT [ Bay and Haviiand Road. 'R- . 1 Box 98 e [ QueensWry. New York '12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION f '�' � C•�''� Data /® "I /' NO A11ppR0VED YES F ting/pier Forms X,,.�. ndation onI' g Frterproofin ckfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers smoke Detectors ChixnneY INSULATION Foundation Floors walls Ceiling FINAL ELECTRICAL 1145PECTION� DRIVEWAY APPROVAL irvey Final Building Next scheduled inspection ( call when ready Viol Bui di g I sp for 6/86 rod-vl flow" 0/ Qtgee" 31"ry BUILDING and ZONING DEPARTMENT Say and Haviland Road, R_D. 1 'Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION hate- � Permit No . APPROVED* -* * NO ing/Pier Forms F000t dati.on Waterproofing Backfill Framing R oofinC„{r Siding Masonry Veneer Rough Plumbing Relief Valves Ext . porches Finished Floors Interior Trim. Stairs a Railings Cellar Drain Tile Concrete Floors -- Plbg . Fixtures_ Gar . Fireproofing Door Closers Smoke Detectors Chimney IN SU LATI Oda Foundation Floors Walls Ceiling FINAI� EisECTRICAI INSPECTION. DRIVEWAY` APPROVAL Final Building Survey Next scheduled inspection (call Wien ready) Remarks- Building Inspector 6/86 and-vl c am— 6 I �di a l5 � � bDilE