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86-618 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-618 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Knights of Columbus, Council #194 OWNER of property located at Route 9, Lake George Road Street, Road or Ave. H. Addition to picnic pavilion fir bathrooms °Q in the Town of Queensbury,To Construct or place a p p an . nrage n at the above location in accordance to application together with plot plans and.other information hereto filed and to approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. rn 1. OWNER'S Address is P. 0. Box 664 0 Glens Falls, New York r_ cr• G to 2. CONTRACTOR or BUI LDER'S Name l Dan Barber 0 G p n 3. CONTRACTOR or BUILDER'S Address E' RD #1 Glens Falls, New York 4. ARCHITECT'S Name 0 5. ARCHITECT'S Address rt (D r w 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame (71 Masonry ( )Steel ( 1 to 0 OQ 7. PLANS and Specifications 0 No. 20'x40' per plot plan, specifications and application submitted 0 using existing septic system. a 8. Proposed Use Picnic Pavilion for Fraternal Organization 0 n a. a tr N• Pw rt rt H. �31 o $ 14.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 87 0 0 rt (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the �I 0 town of Queensbury before the expiration date.) b W N• p n Dated at the Town of Queensbury this 23rd Day of September 19 86 Q rt SIGNED BY for the Town of Queensbury w c Building and Zoning Inspector fD F N• 0 p TO BE COMPLETED BY BLDG. DEPT. Application No. _town o/ Queen3lury Permit Issued 19 'OWN OF QUEENSSURY BUILDING and ZONING DEPARTMENT Permit Expires 19 I � a (� I (� Bay and Haviland Road, A.D. 1 Bok 98 Zoning Designation L� 8�s n Queensbury, New York 12801 Variance No. q �9 Site P1a -i2eview, No. r AMS APprov 9,'. 71819K o �1V93I4i5H APPLICATION FOR f 1 BUILDING AND ZONING PERMIT ' A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. Thy vindersigned hereby applieg for a Building Permit to do the following work wh ch will be done ih accordance with the doscriptiott plans and areeifieatiang gubmittod, and gueh special conditions as may be indicated on the Permit. -------------------------------------------------------------------------- --------------------- / The owner of this property is: ) � j// f-�1 _� /__�F /�1 ( =•��I/ S%< (� (%1�(�'_� t�/9 l P.O. Address `• !� i`ti �,��': / C.-%f L �� �lgf 1_� t `ice )mil. Tel. Property Location: , �'[_ lJ�/`r'l�rL= �� Tax Map No.-/ / Street number or building lot number Subdivision name (if applicable) ff THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: �l�'�- � C� E'3�l s�`��'6 1 �jr� f ' �, 't �, —�� �' t Name p/ P.O. Address Tel. No. Name of builder f) f Q i�1 cti{�!='1r' Address l,`,`,�r3�;0; ryrrf) ? ^� Tel. ✓ 'r�' J,L% Name of plumber Address Tel. Name of mason r / 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) 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 j ��' ft X 3 -C-7 ft. * Existing building(s) Size (l ft X 6f C> ft. PROPOSED BUILDING AND USE: Existing building(s) Use �/ �'•(2 2�./-�^c Size of new structure �d1�_­ ft X �(C> ft . . . ... . . . Foundation-pier slab,crawl/partial/full Proposed building, distance from property line (circle one) w. * Front yard «%f`i) ft Rear yard,' ft No. of stories (habitable space) ,A A- * Side yards j7 ft and i, ft Height (grade to ridge) %!? ft. * If on corner, setback from side street ft If residential, no. of families f No. of rooms(excluding baths) f " OCCUPANCY INFORMATION No. of bedrooms_ II , * PRIMARY BUILDING - No. of bathrooms One family dwelling Primary heating system �(•�- r • ,� Two family dwelling Type of fuel * , Multiple dwelling / Number of units No. of .fireplaces to be i stalled �� Will a wood stove be instal-led? ,1 . 1 Permanent occupancy Central Air conditioning? . � , Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE * Industrials Ranch Contemporary Log cabin _other9 �Cfi 1`jl�Il L�f1�i:3'�TIP.�f� . Raised ranch Mansion Duplex If addition, what will use be? ' Split level Old style Bungalow �• ��c�ii�r � n+,r i-,,?t:t i'��� /rfi•'T�����1>;/2f ��'��c�-�i� 1; Foundation wall material !� �f(,gg-TxF Thickness-- Depth of foundation below grade (to bottom of fodting) Will thdrd be a cellar? A_ Heated or uhhdatbd? U4N_�-7, '. ..Floor sq. footage (A gq ft Will there be a basement? )t2Q Will any portion be used as living spade? (,If so, what portion? NJ-'-q sq..ft. - - Type of use? Type of roof -1;s�iopeed7flat/shed/other Material,-df roof i VIX Size, wood studs spacing o.c. length In ft. Joists(floor beams) lst. floor X:' spacing — "o.c. span ft. Joists (floor beams) 2nd. floor I spAcing --"o.c. span_ ft. Overlays(ceiling beams)oq,�01- spacing_t6tfo.c. span__04�,- ft. Roof rafters ,x U. " spacing Z�110_c. 'span, Roof trusses(pre-engineered) spacing Jl(," "o.c6 span yt,,9 ft. Exterior wall finish Of what material?. Interior wall finish f,- 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? "V1:4 if so will a Fire-rated door, enclosure, and self-closing device be 'provided? Will a flue-lined chimney be, installed? 3 Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ,ft. ._-- in. Water supply - Municipal or private well /ZIC-5 N(Ic L Ir P/_�_t SEPTIC SYSTEM Distance from ANY private well(including adjoining properties-2v (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, THE ZONING ORDINANCE, and all o.ther 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 Signa ture Owner, owner's agent,arcnitect,contractor A�_Iday of 11-Sx e 19 M1CV1A17_!2 J: Mate of 4-276071 lq&tary Public,GWarren county, N.Y. SPECIAL CONDITIONS OF THE PERMIT: By ----------------------- _/own of Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION Date /ZZ-/ Permit No. _l� * * * * * * * * * * * * * * * * * * * * * * * f� = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing S Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile % Concrete Floors Plbg. Fixtures Gar. Fireproofing % Door Closers j Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- UtlfSLvG�- © ►��D Building Inspecto 6/86 and-vl La ll.e a 10117 1z 'e 3 . 'Is rij, Jown of QuvenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION �- q Date 161M / y(, Permit No. l g * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing 21- hG ve re Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile 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- AT- CLuz-6 , Building Inspect r 6/86 and-vl f �rtL V �y H O N h ' f If ; 4 fQ� it it U A w � it r a pt' �p U '................................. SUBJECT............. SHEET NO_. OF___ *Ko. or-----oAre...... _—_--_--__—'---'-------.---------- JOB mo .............................................. - ..................................................................... ________________________________ _____________________ VII ` ` � " 4u w �^ � | | ~ � � ` � | | � ` ~ I zz�,c d Ct I , _ m .J b► on LIO t� Le NL a� a A m ivc l�l- .BA t/S / S/O.Q/ j c BY...._................. DATE..................... SUBJECT....... G............................................ SHEET I�l� ._..................Oc �CHKD. 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