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1987-788 BUILDING PERMIT � TOWN OF QUEENSBURY t4 No. 87-788 WARREN COUNTY, NEW YORK. � . PERMISSION is hereby granted to Gary R . LaVoy OWNER of property located at Fit:zgerald Rd . Glen Lake Street, Road or Ave. �c in the Town of Queensbury, To Construct or place a Wooden Deck 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, 7 , OWNER'S Address is RR 5 Box 115 Queensbury , N . y . 12801 ca w 2. CONTRACTOR or 8UILOER'S Name c Byron Rist 3. CONTRACTOR or BUILDER'S Address p RD 5 Glens Falls , N . Y . 12801 4. ARCHITECT'S Name �i 5_ ARCHITECT'S Address rrtt N Go rD rt N N l� 6. TYPE of Construction — iPlease indicate by Xl � 10 Wood France ( ) Masonry I ) Steel I 1 G] 7, PLANS and Specifications M No_ 20 ' x 28 ' as per plot plan , specifications and application lr d5" iD B_ Proposed Use Wooden Deck $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June i , T9 88 0 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.} 25th November 87 n Dated at the Town of Queensbury this Day of 19 " SIGNED BY /'// 6�2. A.._..-°- ' - for the Town of Queensbury Building and Zoning Inspector TO 'W' :OMPLEiTED BY BLDG . DEPT . Application No . ouvn o� ueeeny�ur ; Permit Issued BUILDING and ZONING DEPARTMENT Permit Expires 19 P ? L. IL Bay and Haviland Road, R.D. 1 Box 98 zoning Designation f - . Queensbury, New York 12801 Variance No . � ' � NOV 6 1987 Site Plan Review Nov Approved by : Gf APPLICATION FOR RUILDING AND ZONING PERMIT L 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 : to V0V o� F . O. Address_ RD) C & 7C 1 1 � Tel . 293 - &o3l Property Location : FL'f2....(&rAAA �,� ram_ LA ke, Tax Map No . ,6L/./ Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS : A R LA Name L P . O. Address Tel . No , J Name of builder j i y {x tQ L,&_'! Address Tel . ? Name of plumber / Imo// 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 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 ljo p r 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 40 ft X 4=21"3 ft . * Existing building ( s ) Size� ._ft X 3 ft . PROPOSED BUILDING AND USE : Existing building ( a ) Use Size of new structure 't -2 0 ft X .2 S 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 Nov 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 permanent occupancy Will a wood stove be installed? Transient occupancy Central Air conditioning? Business SF BUILDING STYLE, PRIMARY STRUCTURE Industrial ,� Other 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 * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/cane car/ two car/ _car _Private storage building ESTIMATED MARKET VALUE OF 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 frame , fire safe , etc . e9d�7C 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 Size , wood studs " X If 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 "X If spacing o . c . span 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 n F 1 T v I T STATE OF NEW YORK County of Warren 11 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 . //3 SWORN TO BEFORE ME THIS Signature __ _ 'v_cc Own e er, a r s agent - rcnirect, contractor 19 day of d Notary Public , Warren County , N . Y . IF SPECIAL CONDITIONS OF THE PERMIT : By------------.......---------------_ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I2801& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR NSPECTICT RECEIVED .^"7� NAME G� LOCATION t,� �Aj , DATE PERMIT # y' APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONI AMP'-PROOFING BACKFXLL APPROVAL ROUGH PLUMBIN6 FRAMING ELECTRICAL I?OUGH -IN INSULATION: FOUNDATION FLOORS WALLS g CEILING 4** FINAL INSPECTION: CHIMNEY HEIGHT ROOFINGpK # SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS ', PLUMBING FXXTURES/RELIEF ALVE INTERIOR TRIM/PRIVACY -- -- - FINISHED FLOORS GARAGE FIREPROOFING ��r• DOOR CLOSER (S) � SMOKE DETECTORS , FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE F OCCUPANCY MUST BE OBTAINED FROM THE B LDING DEPARTMENT BEFORE THESE PREMISES ARE CCUPIEDI REMARKS; dd i r L INSPECTOR 'i i i l �I -- f �.. 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