1986-222 BUILDING PERMIT
TOWN OF QUEENSBURY 86-222
WARREN COUNTY, NEW YORK No.
2W t (3-1 —( I
PERMISSION is hereby granted to Calvin C. Powers
OWNER of property located at Chestnut Road, Glen Lake
Street,Road or Ave.
enclose
in the Town of Queensbury,To Construct or places Alteration to dwelling
at the above location in accordance to application together with plot plans and other information(
hereto filed and shed)
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is RR Nl Chestnut Road, Box 1766
Lake George, New York
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2. CONTRACTOR or BUILDER'S Name o
same
3. CONTRACTOR or BUILDERS Address
same
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4. ARCHITECT'S Name n
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by XI t"
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)Wood Frame
1 1 Masonry I )Steel 1 1
7. PLANS and Specifications
enclose shed on house 8'x9}' per specifications and
No. application submitted.
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B. Proposed Um
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One—Family Dwelling (enclose shed on house) n N.
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$ 5.00 N
PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 19 86 eo'
(If a longer period is required an application for an extension must be made to the Buildingand Zoning6 m
town of Dsbury before the expiration date.) inspector of the
ueen
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Dated at the Town of Queensbury this '1�1,5_th Day of MaY ig 86
SIGNED BY /1"{Q.CQ d_ ,Ozejo for the Town of Queensbury
Bu Ming and Zoning Inspector
c--/� TO BE COMPLETED BY BLDG. DEPT.
✓OWn 4Queenihidry Application No._
Permit Issued 19 OWN OF OUEENcr
'��
BUILDING and ZONING DEPARTMENT Permit Expires 19 [1 'n�^ A
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation El `"' �I �C.
Queensbury, New York 12801 Variance No.
Site Plan Review No. '/(hh`�IA)40 �1986
Approved by: '71?,?p RA14)!?131415, ,
APPLICATION FOR i•T,/�/"r/,�J O {�' ,
BUILDING AND ZONING PERMIT r
* * * * * * * * * * * * * * * * * * * * * * * * * * * p * * * * * * * * * *': *
A PERMIT MUST BE OBTAINED BEFORE BEGINJING 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: ( 2 at p�.v(nnhj p(1) roLu ee-S
it
g( f* '04/ Te1.7/pp
2-P1L1
Property Location: hd.-fi 4/ 1 'j-r SJ=Io Sed-e / Ast6- Tax ((Map No. 3y / / / IV
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder Gl LJw.. G. )9 Address, eN tl ,iC� )L vT AD LEi. 1l.'.�Tel. 79z 1 -.5 /
Name of plumber o.+b+e�S AddressRe4 i Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
7Addition 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
SAIL GSC. S///°i) (61 ifVSi * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AN * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 5 t? ' ft X f)2 t ft.
* Existing building(s) Size /Q' ft X 24 ' ft.
PROPOSED BUILDING AND USE: *
i * Existing building(s) Use t+r
t
Size of new structure Se ftX 11t
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
*
(circle one) * Front
No. of stories (habitable space) yard 5 ft Rear yard f(r ft
Height (grade to ridge) NO- ft. * Side yards 6 , ft and /G ' ft
I£ residential, no. of fam lies` * If on corner, setback from side street ft
No. of rooms(excluding baths) J* * OCCUPANCY INFORMATION
No. of bedrooms .3 *
No. of bathrooms / * PRIMARY BUILDING -
Primary heal ing system V L (/l,R ) * i_/One family dwelling
Type of fuel Oil, / * Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? Nei) * _Permanent occupancy
Central Air conditioning? --- * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE __Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If/1 addition, ha3 will use be? YrtR fit e
Split level Old style Bungalow * A* Sc�'u `Q"''I' R'Io✓t IZ / r're.
Cape Cod Cctta,gel Other * ACLEBSORY BUILDING-
Colonial Row Town House * "K hed garaur/one car/ two car/ t car
( CIRCLE ONE PLEASE ) * tta hed garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * Pri,2te storage building
ESTIMATED MARKET VALUE OF Other O 6,3 iN/L !
CONSTRUCTION $ .. s17, o-v +
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.
Zt.. ti. 1>
Will any second-hand or ungraded lumber be used? If so, for what? 71,/C
Foundation wall material_ ickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? V,'L' Heated or unheated? Floor sq. footage sq ft
Will there be a basement? JV 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 /ribCTiugt F20.n r
Size, wood studs 3. "X y " spacing /4. "o.c. length < ft. cl.
Joists(floor beams) 1st. floor - "X - " spacing - "o.c. span - ft. ,9
44- y, 7iN4
Joists (floor beams) 2nd. floor "X - " spacing - "o.c. span - ft. 'VC - if y .„
Overlays(ceiling beams) - "X - " 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 Lbv,„( h l � Of what material?__
Interior wall finish 7,y/7,. y S/k 5(11,/'T 4c'z
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
We-
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 STATE OF NEW YORK
Cou„ty of Warren
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 proposed work shall be complied with, whether specified or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signaturet*✓G_'1E
Owner, owner's agent,arcnitect,contractor
Iday of '77,4V 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By U ,..ne
TOWN OF QUEENSBURY
Building Department �r
etero Date s / • p G
Location
permit hw x1 Weather
Remarks
Excavation
Footin. Forms
Footin. 6 Piers
Foundation
Cement Coat
Water•roofin•
Backfill
Final Surve
Framin• `_/
Sheathin•
Roof Felt
Roofin.
Si din.
Masonr Veneer
Rou.h Plb•.
Relief Valves
Wall Board w
Ext. Porches
Finished Floor �-
Interior Trim =.
Stairs & Railin.s
Cellar Dr. Tile
Concrete Floors
Pl.. . Fixtures
Gar. Fire•roofin•
Door Closers
Chimne
Water Meter Inst.
Se•tic A••roval
Floors
Insulation Foundation
Walls
Ceilin
ithfle2
Buil long I nspec toa
REMARKS
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