88-546 BUILDING PERMIT
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TOWN OF QUEENSBURY No. 88_546
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to MacLane Hadden
OWNER of property located at 271 Bay Rd. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
Addition
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.
1. OWNER'S Address is
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Same
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2. CONTRACTOR or BUILDER'S Name
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Same
3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name `•C
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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(X)Wood Frame ( ) Masonry ( ►Steel ( ► 0
7. PLANS and Specifications
No. 8' X 16' as per pilimxp±ax*, drawing and application
8. Proposed Use
Addition — Porch
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 19 89
(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.)
3rd August 88
Dated at the Town of Queensbury t . Day f 19
SIGNED BY /f for the Town of Queensbury
Building and Zo ing Inspector
, .r / ., TO BE COMPLETED BY BLDG. DEPT. T i.
awn o f Queen96ury Application, No. LI 14 ` '
Permit Issued 19 +' v •
BUILDING and ZONING DEPARTMENT Permit Expi.res 19 JUL 6 ����
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No.
Site Plan •Review No. BUILDING & CODE DEPT.
Appr ved l��
APPLICATION FOR • L'' r
BUILDING AND ZONING PERMIT
* * * * *: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undernjgned hereby applies for a Building Permit to do the following work which will
De done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
Phe owner of this property is: /a
P.0. Address ...�i 1 i-) 6< Po (/ ,iv.S rA./'c / / ?,5./ Tel. e" 0 bz
Property Location: l IQ Tax Map No./O7// /ap '
Street number or building /lot: number
Subdivision name (if applicable) (R /'1
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
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Name f _ P.O. Address Tel. No.
game of builder sGA/� Address Tel.
game of plumber Al/A Address ' Tel.
Name of mason e e9 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) p // .". 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 ft X ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure e- ft X /4 ft *
Foundation-pier/ '/crawl/partial/full * Proposed building, distance from property line
*
(circle one)
go. of stories (habitable space) * Front yard ft Rear yard ft.
Height (grade to ridge) ft. Side_ yards ft and ft
•
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding aths) ��A * OCCUPANCY INFORMATION
No. of bedrooms A !!! *
No. of bathrooms * PRIMARY BUILDING -
•
Primary heating system ** One family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be inst lied * Multiple dwelling / Number of units
Will a wood stove be installed71/9 * Permanent occupancy
Central Air conditioning? * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other
If addition, what will use be? p„Ariji
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. i. d D 0
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material k Xicli ? Thickness
Depth of foundation below grade (toldottom of footing)
Will there be a cellar? ,t) Heated or unheated? 1,0-0 q. footage sq
o s _1 .� ft
Will there be a basement? living Will any portion be used as space? Ajfc?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Material••of roof
Size, wood studs_ "X ./ spacing ,t (,, "o.c. length ft.
Joists(floor beams) 1st. floor '2, "X " spacing. "o.c.
Joists (floor beams) 2nd. floor "X " p g_ 1 6 span ' ft.
spacing "o.c. span ft.
Overlays(ceiling beams) ;_. ; ,' spacing "o.c. span ft.
Roof rafters )(I'` /.. " spacin o.c. span ft.
Roof trusses(pre-enginee d) spacing "o.c. span ft.
•
Exterior wall finish Of what material?
Interior wall finish `(
If a garage is to be attaCched, describe materials to:be used for FIRE SEPARATION:
Is -there to be an opening between garage and dwelling? A/4 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 low grade 1`/-eft.
Depth of fireplace hearth /P✓J, ft. in.
Water supply - Municipal or private well rte 9
SEPTIC SYSTEM _ Distance from ANY private we (including adjoining properties / ft.
(A separate application is necessary for any repair or new installation of sept4lc system)
Town of Queensbury
County of Warren AFFIDAVIT 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 d3ne 'on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and al! other laws pertaining
to
the prop Beet work- shall be complied with, whether specified or not, and that such wurk is
authorized by the owner.
SWORN TO BEFORE ME THIS
Signature___ .e0i;53f.-- _c2‘2Egt _
O r, owner's agent, ect,contractor
day of 19
Notary Public, Warren County, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
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INTERIM BUILDING PERMIT
PERMIT APPLICANT 74/4,7
CONSTRUCTION LOCATION a .pd = `? 7
7
EFFECTIVE DATE am-
APPROVED BY /� n
SPE
CIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Peinnit , the above named
may begin construction' per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, foil wing -processing .
POST THIS INTERIM PERMIT IN A CO . SPI QUS CA ON ! !
ui ding & Codes Department
TOWN OF QUEENSBURY
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 5/ -
NAME //, jvet .
LOCATION 7/ &v ;T,1
DATE PERMIT # S�/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN,
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
V INAL INSPECTION:
CHIMNEY HEIGHT
k//:,
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION V
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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