85-487 411. BUILDING PERMIT
TOWN OF QUEENSBURY No. 85-487
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to William Bodnar
OWNER of property located at Bay Parkway/Assembly Point Street,Road or Ave. H.
in the Town of Queensbury,To Construct or place a Alterations to dwelling ~'
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 RR #1 Box 1275
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
John A. Mason
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3. CONTRACTOR or BUILDER'S Address
P. O. Box 86
Cleverdale, New York
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( 1 Steel ( ) _._
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7. PLANS and Specifications
enclosing an 11' 6" x 16' area of deck per plot
No. specifications and application submitted.
8. Proposed Use 1
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One-Family Dwelling - part of deck enclosed (i• (D
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 86 cn
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ri-
town of Queensbury before the expiration date.) rt 0
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Dated at the Town of Queensbury this 3 0th Day of August 19 85
SIGNED BY --ho
d a , for the Town of Queensbury
Building and Zoning Inspector
•
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for .\lip►icatlon No. :
��` Permit )sated 19
BUILDING AND ZONING PERMIT 1,,.,.mit f•:,pires. 19
7,iiiiiiip. District
. \;due i,1 \1'nrk i
THREE (3) Copies of a PLOT PLAN, Drawn to scale \itlIt .‘`'c1 b,y
showing the actual dimensions of the lot to be built It<'t,t;trKS
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. TOWN OF QUEENSBURY
August 27 , 1985 RECEIVED
1 — t1 1 , , DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Nut 2 9 1985 '
ANSWER ALL OF THE FOLLOWING. A.M. J) ''- I— e-t, r c4 M`
The undersigned hereby applies for a permit to do the following work 1911
� 1 2 4 5 6
which will be done in accordance with the description, plans and specifi- . .. ° _ , "I al 1 s�'I s
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
William Bodnar R. R. #1 Box 1275 Lake George, N.Y. 12845
INA 4E1 IP 0.ADDRESSI
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
John A. Mason P.O. Box 86 Cleverdale, N.Y. 12820
(NAME) IP 0 ADDRESS)
Name of Builder John A. Mason Address P.O. Box 86 Cleverdale,NY
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S 3000 . 00
Name of Village F ai• • J'g ri<01°
Name of Street Assembly Point Road Side of street: north 0, east 0, south 0. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south ❑,east .it,west 0 from Cross Street
If on Corner,which corner, northeast ❑, northwest 0, southeast D. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Main Buitding
Construction of a new building.ElOne family dwelling ❑Addition to a building. Two-family dwelling 0
❑ Alteration to a building.
ElDemolition of a building. -family apartment house ❑
Store building ❑
-car attached garage 0
Other:
• Accessory Building
One-car detached garage
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iJ Other work. Describe Enclosing an 11 ' 6 Two-car detached garage • ❑
x 16 ' 0" area of deck. Private chicken house ❑
Private storage building ❑
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
Indicate on the plot plan street names,the location and
, size of the property, the l tion,size a ks of pro-
posed buildings,and th °cation of all exist g ildings.
NORTH Show proposed bu' din ) in dotted)ine nd xisting
Iuilding(s) in li 'ne
Size of property 55C ft.
Size and use o existin bu ldi , if any
I-
x W Size of propose i dt ft.x ft.
Height(f grie to ridge) ft.
Front yar it.
Side yards ft. and ft.
Rear yard ft.
SOUTH If on corner,setback from side street ft.
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . W4od. .frame. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? . . . NO If so, for what7
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? . . s...QRed. Material of roof . . .asphalt shingles
Size,wood studs 2 " x 4 ", spacing 16 "o.c., length 8. ft.
Size, floor beams, 1st floor — " x — ", spacing — "o.c., span — ft.
Size, floor beams, 2nd floor — " x — spacing — "o.c., span — ft.
Size, ceiling beams 2 " x 6 ", spacing 16 "o.c., span 11 ft.
Size, roof rafters or beams 2 ' x 6 ", spacing 16 "o.c., span 12 ft.
Exterior finish wood With what material? siding
Finish of interior walls sh@et o.c}c
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? — Depth of fireplace hearth
Willa toilet be installed?. .. . . . . . . . . . . . . --. . . . . . .
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury / AFFIDAVIT
County of Warren
State of New York
I swear that to tr. £, 1 of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,,p lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work she be complied with whether specified or not,
and that such work is authorized by the owner. Asii.
Sworn to before me this Signal • .. .....
> day of �t/3t' . �5
OWNER.OWNERS AGENT.ARCHITECT.CONTRACTOR
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
TOWN OF QUEENSBURY
Building Department
Inspectors � Date09/1,694
Name .-i92)jll&-�
Location Hr5��f'Aee�4 ,4-� . 'd/Z1 P 7
Permit No. ES ^ 7 e; Weather
E/Oit 0S' 7) Po ,Gty Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat / 7"A/,4
L
Wataterprooffing
Backfill
Final Survey /il
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor �'/
Interior Trim � , �e)
Stairs & Railings .--
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures ,i/ /11
\\)\\\
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
u lding Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 0--1-/e5".
Name
ee 501).W - �
Permitt3.ff �,4klcw Y SEM 0
No. 6�"- ,,',57 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey �C
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
//\\/#7.
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
c.--//17/ ,
Building Inspector
REMARKS
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