1988-033 BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-33
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WARREN COUNTY, NEW YORK 0
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Lena Hall
PERMISSION is hereby
granted to
OWNER of property located at IIKER1333 #EtzZI• Rockhurst Rd. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Dock•
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. ti
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1. OWNER'S Address is
Star Route
Glens Falls, N.Y.
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2. CONTRACTOR or BUI LDER'S Name
P.C. Collins
3. CONTRACTOR or BUILDER'S Address
Kattskill Bay, N.Y. 12844
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4. ARCHITECT'S Name rt
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5. ARCHITECT'S Address 0x,
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6. TYPE of Construction—(Please indicate by X) a
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. Replace 70'5" crib dock as per plot plan, specifications and
application.
8. Proposed Use
Dock ty
15.00 Sept. 1, 19 88
$ PERMIT FEE PAID—THIS PERMIT EXPIRES
(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 11th Day of February 19 88
SIGNED BY 7a./4 (?` V�� for the Town of Queensbury
Building and Zoning Inspector 40ee.
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•,! ' TO BE.COMPLETED BY BLDG. DEPT. t .
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/ * Application No. TOWN OF OliY‘27
-loam 0/ QueenJbury' 1)ermit Issued . - 19
BUILDING and ZONING DEPARTMENT .-:Permit' Expires ' '. 19 , I . -1 - Po 6-' L-' 11 w EP 0
Bay and Haviland Road, R.D. 1 Box 98 . - Zoning. Designatir 4/Z - /A . ,. . .
Oueensbury, New York 12801..,..: . -. , . „ ,:. Variance'No..- Aff A - - , FEB 101989, :-.
. _ :site-Plan:Review No.-/0/4'
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- • - - , - • - -..-- -\\ Approved by- ..,.. , .. .. BUILDING f.le CODE DEPT.APPLICATION- FOR - - - -- .
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BUILDING AND ZONING PERMIT. ..'.. •
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A PERMIT_MUST BE OBTAINED BEFORE BEGINNIWCONSTRUCTION. ANSWER ALL OF 'THE FOLLOWING. . ' .-
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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
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special conditions as maybe_ indicated on the Permit. . .. - . , ,
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The owner of this property is: L.-=Pile.r . VH: ---- 14 f • - ' - .
P.O. Address -, 1 .17414.2. 20tr4 . /e±DZIS /---"WeS. A4' ,',. • - 43-Pa 1 Tel. es - 22sg,-
Property.Lodation: IC.c.,e/A641--':'W ''''& ' - Tax Map No. -/ V'
Street number or, building-lot number : . . - _ . .
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Subdivision name (if applicable) ' - -.-3, ':. ..: - ' • . . .
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THE PERSON RESPONSIBLE FOR-SUPERVISION'OF_WORKAS-REGARDS BUILDING CODES IS: '
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lk G. CoWiAz . taleal .•67::: - If 0-1" `Ii Name P.O. Address Tel. No. 9767 • • ''
dress . .
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Name of builder - ' ' • .'Address ' . - Tel. ,
Name of plumber ' . "- -- - ' -Address ' : ' ' ' . Tel.
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Name of mason - • ' . -- - ;":--- . ' Address :' . Tel
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NATURE OF PROPOSED WORK: . ' ' .. .. : • - „ ' ZONING INFORMATION:
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Construction of a new building . ,,,,. ,, ;ThA.,PLOTPLAN MUST BE PREPARED AND SUBMITTED,
---Addition to a building::' ,_ _ ,:, ,.., ; * drawn. reasonably to.scale and attached hereto, . ,..
7--Alteration :to-a buiiding,:,.f. , : ' -, -,:.: 1!: shoWin -clearly-and. distinctly- all buildings,-
(no change to exterior dimensions) whether existing or proposed and indicate all
YjOther work (describe) ' • -. ', - * set-back dimensions from property lines. Give.
125p Doeg 9 ...57-M,A-50S . '.' - * street and number or lot number and indicate - •
.. )6.' whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE- S1ZE. AND., '-*. ' - -
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. ,Y , ',•' -,*- - ; .
of septic. disposal area. .*
* COMPLETE INFORMATION REQUIRED BELOW. . .
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- ..* Size of. property- ' - ". ' ft X - ft. ' •
* ' * Existing bUilding(s) Size ft X ft.
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PROPOSED BUILDING AND USE: -- -
':* .E?cisting building(s) . Use: ' : " ' . . ,
Size of new structure ft -X -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) Ift.-._
If on corner, setback from side street ' ft
If residential, no. of families —, .*,
No. of rooms(excluding baths)-' " • . .-_ -:*, i. :: : OCCUPANCY INFORMATION
No. of bedrooms - ' •
.. . * PRIMARY BUILDING -
No. of bathrooms. ' - - - . -
. . - , One family dwelling ,
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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' HH * - - .
Cape Cod.. Cottage Other : ' -:* ACCESSORY BUILDING- • ,
Colonial Row Town House ,:---*'.-- Detached garage/one car/ two car/ car .
( CIRCLE ONE PLEASE ) - - - ' -* 7Attached garage/one car/ two car/ car
* * * * * * * * .* * *. * * * * * * * : 'private storage building
ESTIMATED- MARKET VALUE OF ' Other
CONSTRUCTION ,
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INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE. SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 md-vl '
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BUILDING PERMIT APPLICATION CONTINUED - , •
BUILDING SPECIFICATIONS:
Type of:;contruction, wood frame, fire safe,etc. .
Will any second-hand or ungraded lUmber be, used?,. If so, for what?
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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 " spacing "o c length ft.
Joists(floor beams) 1st. floor 4 :"X ".t spacing c: span ft. •
Joists (floor beams) 2nd. floor • :::;" :spacing "o.c. span ft.
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Overlays(ceiling beams) "X 1.1 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'arid dwelling? 'If so will a Fire-rated
door, enclosure, and self-closing device be• provided?
Will a flue-lined chimney be installed? " 11eight above roof ft.
Depth of chimney foundation below grade " ' ft'.
Depth of fireplace hearth ft. in.
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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
- -A Ff A D A V ' T
STATE OF NEW YORK
County of Warren ,
I swear that to the best of 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 Ion the described premises and that all --
-provisions --of th-e'tUIL DING---CODETHET".ZONING-01-WINgstCE;
the proposed work shall be complied. yith; :whether ss ecifi or not, and that such work is
authorized by the owner. " ,
SWORN TO BEFORE ME THIS Signatur
, owner's agent,arcnitect,contractor
day of
Notary Public, Warren County, N.Y. - • '"
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SPECIAL CONDITIONS OF THE PERMIT
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By
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TOWN OF• ,QUEENSBURY
. BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
, QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED f(9 9,�
NAME /..oGtd
LOCATION 4 o -e
DATE PERMIT # £S— 53
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN '
INSULATION:
FOUNDATION
FLOORS
WALLS .
CEILING '
FINAL INSPECTION:
CHIMNEY HEIGHT
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
_FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR •C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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ARRIVE
DEPART
INSPECTOR
ULF/A-CAA:M. &A4
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