1986-012 BUILDING PERMIT
TOWN OF QUEENSBURY No 86-12
WARREN COUNTY, NEW YORK
-t)—
PERMISSION is herebyranteci'fo
9 Robert Rowe
OWNER of property located at 30 Helen Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations to dwelling (bathroom) Py
at the above location in accordance to application together with plot plans and other information hereto filed and tD-
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. rr
1. OWNER'S Address is 30 Helen Drive
Glens Falls, New York 0
2. CONTRACTOR or BUILDER'S Name
OKO Custom Homes
0
3. CONTRACTOR or BUILDER'S Address
9 John Clendon Road 0
Glens Falls, New York
4. ARCHITECT'S Name
f�•
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( 1 Masonry ( )Steel ( )
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7. PLANS and Specifications
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alterations to bathroom for handicapped per specifications rt
No. and application.
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8. Proposed Use m
One—Family Dwelling (alterations to bathroom)
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$ 14.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1 19 86
0
(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 14th
14th Day of January 19 86
SIGNED BY //l /✓f2-e- for the Town of Queensbury
Building and Zoning Inspector e'
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
lication for Application No.
pp Permit Issued - lg.
BUILDING AND ZONING PERMIT Permit Expires. Ig.
%unin District
• \ aluc (11 Work, •
THREE (3) Copies of a PLOT PLAN, Drawn to scale Approked by
showing the actual dimensions of the lot to be built Ilcuiar)CS-
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. .
• G� O - /"l— E /` /O —f 6, iI,�a 0 OWN ( (1 OAP' OUn(EENSEURY
DATE E k V �. 0
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. JP N ' - ,i; p
9hereby appliespermit A/c �2 64 -Ii1•(l7
The undersigned fora 'fio do the followingwork t f `� __._ F.PrI,
which will be done in accordance with the description, plans and specifi- 8191 11)12)112,3,4,516
cations, and such special conditions as may be indicated on•the permit. • La ° °. a t a c e e e e ,
t /Ud C/O>4IC6J /
The o 3ier of this propert
/r< o g ? 7" /r e LC.,e' ` 3 0 /16?, -)4,,1 •ie vE G 6'2(.s ,s , .t..)`I
(NA•.IE) (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Building Code and t Zoning Ordinance apply is:
,?//,,zz 6, `LLB -. 2,k. 2 Z iL e ' L IC) -/PJ w'.7771 'QV
(NAM TO ,,,A �7 (-PLO-ADDRESS)) _
Name of Builder v/0 4 /- "' Address / v G� ""&7A / r 4 '�' • /61
L- L` Address
Name of Plumber .
a Address
Name of Mason `c G eJ
Lot Number Unit Estimated value of proposed work 14 ° I
Name of Village U��'C�1y04)i2V
Name of Street 90 // tom' Side of street: north 0, east Cr, south west ❑
Nearest Cross Street /l/.4-2�2"Ue, sy_ Distance from this cross street Ft.
Property is north ❑,south 14,east iii, west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast D. southwest
(Designate by marking with an "X" in.the correct space.) •
NATURE OF PROPOSED WORK . OCCUPANCY "
LI Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling ❑
Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
AL .2a-P t ic.SNS TO 'aA-TT 2 O•®..M -car attached garage ❑
rod_ (�At ti�I- -POc�. Other: Accessory Building
• _ One-car detached garage
❑ Other work. Describe- Two •car detached garage ❑
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 location, site and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH
Show proposed building(s) in dotted line and existing
• building(s) in solid line.
• Size of property ft. x ft.
Size and use of existing buildings, if any
1- F `
s W Size of proposed building ft.x t ft.
Height(from grade to ridgy) ��/ � ft.
Front yard 1 O �" } ft.
Side yards ` NI�N 'It- and f ft.
Rear yard I, • 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: 'ood frame 'ire safe,�c.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? �1� If so, for what'
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? �'Iaterial of roof
Size,wood studs " x �f ", spacing /'G "o.c., length • 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 " x ", spacing "o.c., span ft.
Size, roof rafters or beams " x ", spacing "o.c., span ft.
Exterior finish ` �/ With what material?
Finish of interior walls. . . ✓p• r
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
Will a 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 t t to tr. bey r of my know,edge and lief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true nd co.z. lete statement proposed work to be done on the descrilzed premises and that all.provisions of the BUILD-
ING CODE,THE NING ORDINA ,and all other laws pertaini to a propo i'obrk shall be corn li with,whether specified or not,
and that such work is a rized by owner.
Sworn to before me this Signature .� /«•• `laF ►?�(
4,�QWNE ER'S AgENNT ARC �EC r O T A TOR
day of 19 /
NOTARY PUBLIC, WAR N COUNTY, N. Y.
SPECIAL CONDITIONS OF THE FERMI :
•
By •
z { 43.56065 THE NEW YORK BOARD. OF' FIRE UNDERWRITERS v
(n I A
BUREAU OF ELECTRICITY $ `"
41 STATE STREET,ALBANY.IINEW YORK 12207
:'1
12i g Application No.onfile
Date Fehruai 18, 1926 001682/26 A 5 ( �i
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of :,'
•:
RobacL Rowe, 30 Helen Drive, Glens Falls, New York
in the following location; ❑ Basement LI 1st Fl. ❑ 2nd Fl. Outside Section Block Lot 1
was examined on 86 and found to be i I compliance with the requirements of this Board.
1-22—da �:
Ii
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '
OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT MERCURY K -'!'
VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
_ 1 ii
3 1 J •'ii
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ..-
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. ,AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS ':
4
SERVICE DISCONNECT NO.OF S E I R V I C E '..
AMT. AMP. TYPE METER '�,B'.2W 1,®3W 3,B'3W 3,9'IW �•OF CC.COND. .j A.W G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. 'i
EQUIP. PER B OF CC.COND. OF HI-LEG OF NEUTRAL
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OTHER APPARATUS:
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�� �70'1Y7 ��.�'TICYQI? c"TLL
Glens Falls, I c forl 12001 {I BRANCH MA GER '1
g' I Per
I This certificate must not be altered in any manner;return to the office of thei'Board if incorrect. Inspectors may be identified by their credentials. :
S MI ® In 4?7e-4- ie-?C'iss ies-isi-4-.iele-ciaY?e-iaY4 ® ® 0 MESE 0 611151111M11 0 0 ® ® MilliliffiESIE1 ® ® *`"'.` 'R'.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 1 i/3A fo
Name w it/ P J P h
Location 42:i d- Orz i veer
Permit No. r? G - l 2 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer T ;
✓Rough Plbg. `� �1
Relief Valves
Wall Board
Ext. Porches
Finished Floor t
Interior Trim
Stairs & Railings ----__--- .
Cellar Dr. Tile /
Concrete FloorsiL
Plbg. Fixtures \ .
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
� Ceiling f
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4• �.--lr I
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Buildi ilg Inspector
REMARKS
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