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1987-669 BUILDING PERMIT r TOWN OF QUEENSBURY � No. 87-669 WARREN COUNTY, NEW YORK � ' — Charles J . Kice N .r PERMISSION is hereby granted to , I OWNER of property located at ) Pickle Hill Rd . Street, Road or Ave. � in the Town of Queensbury, To Construct or place a Detached two car garage r� 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. 1. OWNER'S Address is same w Fi i� m CA 2. CONTRACTOR or BUILDER'S Name pli w Tim Bennett 0 ro 3. CONTRACTOR or BUILDER'S Address Box 1044 E . River Rd . Ft . Edward , N . Y . 4, ARCHITECT'S Name 'Ta 771 ro x 5. ARCHITECT'S Address r' Y }'c1 a 6. TYPE of Construction — (Please indicate by X) (.x I wood Frame ( ) Masonry ( ) Steel I ? 7. PLANS and Specifications No. 24 ' x 24 ' per plot plan , specifications and application +J m rt w S. Proposed Use Detached two car garage a rr 0 10 . 00 Kay 1 , $8 n S 19 n (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the expiration date.) N OQ Dated at the Town of Queensbury this 7th Day of Oct o 199 87 m SIGNED BY _ 41 � 't-� for the Town of Queensbury Building and Zoning Inspector yr TO BE COMPLETED BY BLDG . DEPT . � Application No . lyr . _ Jowl! 0raee►e3hla[ry Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 cy Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation n SEA"�y 28 7 ©ueerXsbury, New York 12801 Variance No . Cl . . Site Plan T>evlew No . ` " OG 7)EPI_ 1 l ' ApProv y : APPLICATION FOR " PLUILDING 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 lthe Permit . The-owner of this-property is :� i7� r f ' ,/ 7C P P . O. Address _ - 12Tel . �� �•� f Property Location : __S',r/ 2e Tax Map No . Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODESIS - 7 453 J r Name P . O . Address Tel . No . Name of builder , ir Address Tel . Name of plumber Address Tel . Name of mason Address Tel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , 4 _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 , Y_ Size of property t[7 ft . * Existing building ( s) Size ft }C ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Siz neW structure - Vft X.Zzqcft Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one ) * ft Rear and ft- * Front yard Y No . of stories (habitable space ). �� * �, —ft and ft Side yards Height ( grade to ridge ) i e fC • * If on corner , setback from side street ft I£ residential , no . of families No . of rooms ( excluding baths ) * OCCUPANCY I NFORMAT I CN No. of bedrooms PRIMARY BUILDING No . o£ bathrooms One family dwelling /1 y Primary heating system Two family dwelling Type of fuel * Multiple dwelling j 'Number of units No . of fireplaces to be i . Called _ rpermanent occupancy Will a wood stove be ins ailed? -�T ransient occupancy Central Air conditions ? Business BUILDING STYLI=, PRIMARY STRUCTURE Industrial Ocher Ranch Contemporary Log cabin * If addition , what will use be? Raised ranch Mansion Duplex split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * 4/ De Lathed garage/one carf wo ca / car ( CIRCLE ONE PLEASE } * ttached garage/one carf r/� 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 : Type of construction , Wood fra fire safe , etc . Will any second-hand ungi:a ed. lumber be used? If so , for what. ? y — f1'1� - { Foundation wall material ['" Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? ,i Heated or unheated? Floor sq. footage 5 .-;7e> sq ft Will there be a basement? any portion be used as living space? ( I£ so , what portion? sq . ft . - - Type of use? Type of roof oe /flat/shed/other Material . of roof p $ . Size , wood stu " X,,V - "' spacings "o . c . length eft . / floor "X spacing "o . c . span ft . d�o7,''1�/rX� cf�onr beams } end- 2oor -' "X " spacing "o . c . span ft * ayrs ( c 1 japer b", s ) '" "pa g � i ,G�sp r,f of rs X n c Roof trusses (pre-engineered) spacings toO . c . span_ _ft . Exterior wall finish %-- Of what material? Interior wall finish f � 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? 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 e A F F I D A V I T STATE OF NEW YORK Warren n County off Warr 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 .4 -_ �r - - owner s agent , a cnirect, contractor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT cc� f Bx1Y , HAVILAND ROADS QUEENSBURY, NEW YOR��J5� 2a - TELEPHONE ( 5I8 ) BZ.UIMING INSPECTOR' S "'P'OR'T REQUEST FOR INSPECTXON RECEIVED NAME Cn /� tPPRO LOCATION ERMIT DATE _s.l =- — VED YES NO FOOTING/PIERS MO OLITHIC POUR FORMS OUNDATION/DAMP PROOFING__^___-� BACKFI,LL APPROVAL RO GH PLUMBING' MING ELECTRICAL ROUGH`TN INSULATION: FOUNDATION FLOORS WALLS �'EILING ( PrI1VAL INSPECTION* CHIMNEY HEIGHT 1� ROOFING � SIDING CPS SXT,ERNAL PORCHES/ STAIRS-{CLEARANCE i& RAID_-- -�-�- PLUMBING FIXTUR SIRELIRXvACY DF VALVE INTERIOR TRIMI FINISHED FOORS LOOVS GARAGE FXRBp#OoFXNG ,DOOR CLOSEI SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION MUS BE FICTE OF A SIGNED C FROM THEA BUILDINGCUPANCY DEPARTM NTT BEFORE OBTAINED OCCUPIEDr' THESE PREMISES ARE REMARKS : r INSPECTO _ !Own v �Qpr� dhure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road D x 98 ()eensbury. New York 128 1 BIJ I LD I NG INSpECTOR ' S REPORT NAME LOCATION Date /"G / / Permit. NO . _ 6� * * * * * * NO * * * * * * �.• * APPROVED - YES +/Footing/Pier Forms Foundation Waterproof ing Backfill Framing Roofing Siding Masonry Veneer Rough plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors ,Ibg . Fixtures Gar . Firepr00fi Door Closers Smoke Detecto Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Survey Final Building Next sctreduled i nsP action (call when ready ) Remarks- guil ing Inspector 6/86 and-vl � 51 ptt*1t� .� f 2x8 Sol 4r x 22 � (.rib (v'x(vN vJI M Tim T� `21� . $n a'. _ I(JO t1tti! 414 r� 3a g Tr7 : We r16rrX:r�� a � I y � �i7 �1�� —^ �'f•�fs`I � � �T'a��� WOOR IUA ram. 3} 60 go I all OgWWOAl2 yptr nnQ�� Il$t' 10_otr OF 2