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1989-090 r + MTIF"IC.ATE OF +(JNiPLiAN' E TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date February 13 iq 90 ac This is to certify that work requested to be clone as shown by Permit No._ has been completed. This structure may be occupied a location +4 C0131) 1 e�S U erne J y v c: C)wmer F.cy u �: & :a� ii1 semen Ta:aloxas .c By Order Town 'Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF Q.UEENSBURY No. 89 - 90 WARREN COUNTY, NEW YOR K o PERAA1551pN is hereby granted toKat- 1^il �c=n �JA h Q D Sk i � I to OWNER of property located at Tint # 6 4 C`nhhl PS f r311e r ; isa Street. Road or Ave. I in the Town of Queensbury, To Construct or place a D c-k at the above location in accordance to application together with plot plans and other information hereto filed and o approved and in compliance with the Town of Queensbury Building and Zoning Ordinance- F2CONTRACTOR ER'S Address is 4 Cobblestone Drive RD # 1 Queensburyr New York 12804 ci or BUI LSERM Name tl c7 Self En 3. CONTRACTOR or BUILDERS Address Same m H- rt 4. ARCHITECT'S Name tmr R'+ Aa rt r6- ARCHITECT'S Address [D TYPE of Construction — (Please indicate by %I t'' i ) Wood Frame l ] Masonry f 1 Steel l ] 0 ry" GSA 7. PLANS and Specifications No. 672 sq . ft . as per specifications and application . " n 0 Or B. Proposed Use Single Family Dwelling w/Deck M rn uo rr 0 10 . 00 c/c ro $ C; rf rno PERMIT FEE PAID - THIS PERMIT EXPIRES t�$-9-- C (lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N town of Queensbury before the expiration date-) C (t Dated at the Town of Queensbury this 15tt1 Day r March _ 1989 SIGNED BY for the Town of Queensbury B Ilding and Zan Inspector n TOWN OF ClUEENSBURY TO BE COMPLETED BY BLDG. DEFT . RECEIVED C� Application Noe fouvn o ueQrt�IL�esrr Permit Issued 19 MAR 15 1989 BUILDING and ZONING DEPARTMENT Permit Expires 19 f Zoning Designation L'r Bay and Haviland Road, R.D. 1 Box 98 i BLDG. & CODE DEPT. Oueensbury, New York 12801 Variance site P1 Review No . Appr „: 91'wvf APPLICATION FOR [Q Co. Y FUILDING 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 an the Permit . The owner of this property is : AC40 *4 62�� Ti 3tA//51C P . O . Address /d!J-W / +c-ws B u � . o Tel . -lei 'L-2Lgvol � Property Location : LDT Ca Tax Map No . Street number or building lot number Subdivision name ( if applicable) u + " 11-k'- THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : tl'k � +a,.5'� Cc+►v S� Sc..n, rG 4S 1� C3ou G L- 2 Name P . O . Address Tel . No . Name of builder �>AkAk-. -AS Address Tel . Name of plumber /JJA Address Tel . Name of mason w a Address Tel ,, NATURE OF PROPOSED? WC]RK : * ZONING I NFORMAT I ON : _Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED • _Addi.tion 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) __f' . 4s svz u * set-back dimensions from property lines . Give C �� 2 � C ptp 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 s ` i b ft X 3t L4 ft . * Existing building ( s ) Size -# o ft X %Ab ft . PROPOSED BUILDING AND USE: 2 * Existing building ( s ) Use rstk>N , - CA Size of new structure ft x_ ct Foundation-pier/slab/crawl/partial / ` .ill Proposed building , distance from property line (circle one ) * Front yard 1L £t Rear yard 1 -LLI ft No . of stories (habitable space ) * Side yards ?iS ft and .I is ft Height ( grade to ridge ) t . if on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) OCCUPANCY INFORMATION Now of bedrooms PRIMARY BUILDING - * N4 . 4f bathroomsOn� 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 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 !Other CONSTRUCTION $ -._ " '� _ _ INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE 'SIDE OF THIS SHEET , TO BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING S PEC I F I CAT IONS : �,�— � .4 r-rua r_�_� P ► -A, O 4 C=70 Type of construction , wood frame , fire safe , etc . Wooy . �C .4tsrE Will any second-hand or ungraded lumber be used? If so , for what ? Al U Foundation wall material sv/.4 Thickness AP'IA$- Depth of foundation below grade (to bottom of footing ) e,1 •_ cs , 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 ? /Va ( If so, what portion? sq . ft . - - Type of use? Type of roof - sloped/flat/shed/other Material of roof Size , wood studs — "x of It Y "o . c . length ft . _ Joists ( Boor beams ) 1st . floor " Xt " spacing ir: / "o . c . span-ft . Joists ( floor beams ) end . floor "x spacing "o . c . span ft , Overlays (ceiling beams ) "x spacing "o _ c . span ft . Roof rafters "x " 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 County of warren A F F I D A V I 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 , 171E 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 day of 19 owner , owner ' s ag = t , arcn.Lrect , contractor - Notary Public , Warren County, N . Y . * * * * * * * * * * It * It * * * * * k * * * s, ,t * It * it ,t * * It * * !r aF * fi Not It It * * * It SPECIAL CONDITIONS OF THE PERMIT By ! `�' � ° TOWN OF QD COD BURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENS.BURYI, NEW YORK 1280&t TELEPHONE 832 BUILDING INSPECTOR' S REPORT REy,1UEST FOR INSPECTION RECEIVED NAME ' L40CATZO � DATE „ 1 ) PERMIT #, y y� APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING r FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT �-- ROOFING .SIDING EXTERNAL PORCHES/ BPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTUR /RELIEF V VB INTERIOR TRIM/ IVACY DOORS FINISHED FLOO GARAGE FIRED FING DOOR CLOSER } SMOKE DETEC RS FINAL ELECTR CAL INSPECTION FINAL APPRO L OF CONSTRUCTICIN i A SIGNED C RTIFICATE OF OCCUPANCY MUST BE OBTAINED F M THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT / )✓ } BAY & HAVXLAND ROADS !� QUEENSBURY, NEW YORK Z280& TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED J CJ -7� _ {� NAME LOCATION r a DATE C _ 3 - . ,PERMIT APPROVED YES NO FOOTINGIPIEIW, MONOLITHIC PWR FORMS FOUNDATIONIDA -PROOFING _ BACKFILL APPRO ,4L ROUGH PLUMBING FRAMXNG ELECTRICAL ROUGH- N INSULATION: ✓ FOUNDATION FLOORS WALLS CEILING ! ,_�INAL XNSPECTION,- r CHIMNEY HEIGHT ROOFING ' SIDING EXTERNAL PORCHESI EPS STAIRS-CLEARANCE RAIL PLUM.BXNG FXXTURF IRELXEF VALVE INTERIOR TRIMIP VACY D S FINISHED SHED FLOG _....._ GARAGE FIRED FING DOOR CLOSER { ) SMOKE DETEC RS FINAL ELECTR CAL INSPECTION FINAL APPRO AL OF CONSTRUCTION A SIGNED ERTIFICATE OF OCCUPANCY ST BE OBTAINED FROM THE BUILDING DEPARTMEN EFORE THESE P EMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT SAY & HAVXLAND ROADS QUEENSBURY. NEW YORK 3280fk TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED _ / NAME LOCATION DATE PERMIT # - D.,2, i APPROVEDT �[., YES NO 4. l' OOTING f MONOLITHIC} POUR FORMS FOUNDATION AMP-PROOFING BACKFXLL AP ROVAL ROUGH PLUMB G 3' FRAMING ELECTRX,CAL R GH-IN % INSULATIONr FOUNDATION FLOORS 1p WALLS CEXLING FINAL INSPECTION: CHIMNEY HEXGHT ROOFING SIDING EXTERNAL PORCHES/ T S STAXRS-CLEARANCE! & ZS PLUMBING FXXTUR /REL F VALVE XNTERIOR TRIM/P XVACY RS FXNISHED FLOOR GARAGE FIREPR FXNG DOOR CLOSER (s .SMOKE DETEC S FXNAL ELECTRI L XNSPECTION FINAL APPROV OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDf REMARKS: INSP TOR