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1988-308 BUILDING PERMIT (13 TOWN OF QUEENSBURY No. 88-308 'o WARREN COUNTY, NEW YORK o SOC1-q ..-- \----is PERMISSION is hereby granted to Robert S. Batease w OWNER of property located a Connecticut Avenue Street, Road or Ave. N in the Town of Queensbury,To Construct or place a Alteration - roof over mobile home m at the above location in accordance to application together with plot plans and other information hereto filed and I m approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is RD#4 - Box 469 - Merritt Rd. 0 tr W. Glens Falls, N.Y. 12801 m 1-1 rt 2. CONTRACTOR or BUILDER'S Name 01 Same td m ri- m w 3. CONTRACTOR or BUILDER'S Address to CD Same 4. ARCHITECT'S Name r1 0 m 0 r- H. 5. ARCHITECT'S Address n G rt m 6. TYPE of Construction— (Please indicate by X) Z m ( )Wood Frame ( I Masonry ( I Steel ( ) ti rF 7. PLANS and Specifications 0 .n. No. roof over mobile home as per drawings and application o 8. Proposed Use I Alteration - roof over mobile home o 0 0 11) C m 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES DECEMBER I 19 88 n (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) b. N 0 Dated at the Town of Queensbury this 31st Day of May 19 88 0 a) m SIGNED BY for the Town of Queensbury Building and Zon ng Inspector TO BE COMPLETED BY BLDG. DEPT. cc�� Q Queeniur, Application No. TC ."'IN Or QUEE -:: Y of l Permit Issued 19 2 ! _ . BUILDING and ZONING DEPARTMENT Permit Expires 19 6 Lb L.J J v Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 2�) Queensbury, New York 12801 Variance No. `i ��l) ��� Site Plan Review No. BUILDING & COD DEPT. \ (� Approved by: ,/ r APPLICATION FOR � P.e / #,0 BUILDING AND ZONING PERMIT c / 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: ` p 7- 0/.27e-4-CC P.O. Address' ) g f5 !/ / �o'(,/ .,y 6JU & -,LI,.S A,../ (/ Tel. Property Location: ( de 6 ,?2),�,( 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: 2/(.,r 722 72)7 Name P.O. Address Tel: No. Name of builder 5-L/J 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, Addition to a building * drawn reasonably to scale and attached hereto, )(Alteration to building * showing clearly and distinctly all buildings, (no ch i e t `xter'Qx i e ions) * whether 'existing or proposed and indicate all Other off( scri e) * set-back dimensions from property lines. Give ((// * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property 66 ft X /6—t, ft. * Existing building(s) Size II-- ft X ( 0 ft. * . . . . . . . PROPOSED BUILDING AND USE: Existing building(s) Use if Ab,,^) Size of new structure ft X ft Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * * Front yard ft Rear yard ft No. of stories (habitable space) * Side yards ft and 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 No. of fireplaces to be installed Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial /f Ranch Contemporary Log cabin * Other ' odF : Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * it Cape Cod Cottage Other * ACCESSORY BUILDI G- 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 $ 1�flb �.� * 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: j! Type of construction, wood frame, 'fire safe,etc. 1104 drgw_ Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material. of roof , ?)") us e Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters 2 "X 4/ " spacing / 'o.c. span 12_ ft. Roof trusses (pre-engineered) spacing "o.c. span ft. Exterior wall finish Of what material? Interior wall finish 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 Queensbury A F F :7 D A V I T County of Warren 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 doneLon 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, whe •-cified or not, and that such work is authorized by the owner. 1. :/SWORN TO BEFORE ME THIS Signatu, - • er, owner's agent,archltect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • By y , TOWN, OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED D.An NAMERki4 __ ___0,2D__9-- LOCATION \,._ , DATE )S -30-S-S" PERMIT # q-g-302 0.3 APPROVED � � YES NO FOOTING/PIERS MONOLITHIC POUR FORMS v`. FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ,' ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS WALLS . . . CEILING . _______t-- FINAL INSPECTION: CHIMNEY HEIGHT_ ' ROOFING SIDING I'� EXTERNAL PORCHES, STAIRS-CLEARANCE • PLUMBING FIXTURES INTERIOR TRIM/PR1 , FINISHED FLOORS -s�s<2'., GARAGE FIREPROOF' ', , DOOR CLOSER(S)_ `' SMOKE DETECTORS_ FINAL ELECTRICAL IN, ` FINAL APPROVAL OF 0f• A SIGNED/CERTIFICAT] OBTAINED FROM THE BZ THESE PREMISES ARE OucuPIED! t4 REMARKS: , Ow 1,4„,v(4____ ', t,, I ad--) INSPECTOR <:0 awn o/ Queenaburcy 5, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSP CTOR' S REPORT NAME A pfii, LOCATION zr/IA- Date b/ Ic' 7 Permit No. Fi"306 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Framing oofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures • Gar. Fireproofin•• Door Closers Smoke Detector-. • Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECT' CAL INSPECTION DRIVEWAY APPROVAL FinalBuilding Survey ��-/ G'r7!1- ,a/0-4ft%7r /L 04-e, Ne t scheduled inspection (call when ready) Remarks- / Buil in nspector 6/86 and-vl f Ata ace — • b .7,e,Nor--- „. - • , , r:--,-:: ts' .:.. . ' : .I-,,./:,e :11(71:: ,r�JJ/�,;_, / , ,, ‘r ctiY ec r0 ,' �. x �5 ......,ty t i:E-10/ ' ;:('' y ai✓ C;ri7 Avili ��a, = �N1'rL�c,c 4�f. Qtriv,: i • oki • t•. . . . • . ... . .,.,. . . . . . • • ..._:-- , AO ....a:`, , irlr 0 -- .., . . . .. .. , . ... . • ' .. . . ' . . 9i.AO k Z; '' . . 1 -......,_ .... ...„_,.__ , .., --__ —. ._., . -I-- --E------it ---_:--0-1.____,=___,.__f_.1.,, ,__• ,_______,.___ __=__ _ .:,,,_____ /r_____i_ ‘ X — x ' --..‘' '•••••,--.....7": „. . . \-N-- \------\----v _. \ . . . , . . . .