86-829 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-829
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Newell Py
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OWNER of property located at Ridge Road Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a Two—Car Detached Garage
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 Ridge Road
Queensbury, NY 12801
2. CONTRACTOR or BUILDER'S Name Town and Country Const Co. , Inc.
3. CONTRACTOR or BUILDER'S Address
RR #1
Fort Edward. New York 12828
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( 1
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7. PLANS and Specifications 0
30'x34' per plot plan, specifications and application submitted.
No. rt
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8. Proposed Use rt
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Two—Car Detached Garage
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES June 1 19 87
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(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.)
Dated at the Town of Queensbury this 25th //''Day//�Hof November 19 86
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SIGNED BY Mad N for the Town of Queensbury
Building and Zoning Inspect re
TO BE COMPLETED BY BLDG. DEPT.
Application No.
OWn of Queeni‘ury Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 s'OWNOFQUEENSBUE'Y
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No. RECEIVED
Site P1. - Review OV 2 47 APProv d b //� 0° ti/+/�-'1�P
r A.M. i P.M.
APPLICATION FOR if r IS' 1 71819 ,3 t 1 33)41 16
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BUILDING 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 the'Permit.
,
The owner of this property is: ,4 G 4 fiL;W Z-Z--.im
P.O. Address ff i Qo'- 44 4 0//`_r1/G601,/ Tel.
Property Location: Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable)
THE PERSON , � Yf
RESPONSIBLE�+ FOR SUPEERVISION OF WORK AS REGARDS BUILDING CODES IS:
7 Q T U dNf Cci ilsc 7 ‘f4/ ,T'Ai Ci
Name P.O. Address Tel. No.
Name of builder 7-0wn, 4 c 6az,�/t y Address / I AT 12'd n A.i, Tel. % 4 2-ko'‘
Name of plumber Address Tel.
Name of mason Address " r ' tr Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
I/ 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
* street and number or lot number and indicate
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND
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 3G ft X 43'74 ft
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from propetty line
*
/=/fir. wo (circle one) * Front yard ft Rear yard ft
No. of stories (habitable space) * Side yards ft and ft
Height (grade to ridge) /3 ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
*
No. of bedrooms
No. of bathrooms * PRIMARY BUILDING -
Primary heating system * One family dwelling
Type of fuel * Two family dwelling
* 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
Q-A(Z ,� 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/one 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 COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. LI,-ood ,�/9,Ai
Will any second-hand or ungraded lumber be used? If so, for what? /j/Q
Foundation wall material G Thickness "
vli�" Cio�R�i�..
Depth of foundation below grade (to bottom of footing) tf e►
Will there be a cellar?,yg Heated or unheated? Floor sq. footage logo sq ft
Will there be a basement? nro Will any portion be used as living space? AtU
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof a-A/,,t-tors
Size, wood studs "X y " spacing /D "o.c. length ft.
Joists(floor beams) 1st. floor y1,0,,,F"X " spacing "o.c. span ft. To,„ /'
Joists (floor beams) 2nd. floor �� tics
1, �;, "X '.' spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft. O7' 6 G
Roof rafters "X " spacing Igo o.c. span 331 ft.
Roof trusses(pre-engineered) spacing_- "o.c. span 9 ft.
Exterior wall finish IX{, G�13N,.�;t, A ,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 AFFIDAVIT
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 done 'on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the pr osed work shall be complied with, whether specified or not, and that such work is
authori d by the owner.
SWORN TO B FORE ME THIS Signature a /2zs / _ems;,,,jt; co,„.;
Owner, owner's agent,arcnitect,contractor G(i
day o 19
Notary Public, Wa en County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
Jown of Queenstury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ,,t4L(it-G G (." A.e)
LOCATION t�
Date ///y /7 Permit No.,61 4JY
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
;,Roofing 1/-
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
'Concrete Floors jj fJ, dZA;; ����
Plbg. Fixtures G
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling •
FINAL ELECTRICAL INSPECTION
)RIVEWAY APPROVAL N
Final Building Survey
Vext scheduled inspection (call when ready)
Remarks-
s✓`
Building spector
5/86 md-vl
Jown of QuQenJhur/
BUILDING and ZONING DEPARTMENT
( Bay and Haviland Road, R.D. 1 Box 98
J Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME }\JL-UJLLL
LOCATION 'LA 041- resit .,v &irr&Q,vv i
Date / A % St Permit No. 0 ' D- Zi
* * * * * * * * * * * * * * * * * * * * * * *
Or = APPROVED - YES / NO
Vooting/Pier Forms (9,r
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
\://xN\\
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
REVISIONS 13Y
*
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