1986-279 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-279
/J ,.�/�1 r � ^ — � � WARREN COUNTY, NEW YORK
PE\R`MMIIISSSIIIOON is here granted to John Wohlfahrt
OWNER of property located at Ohio Avenue Street. Road or Ave.
in the Town of Queensbury,To Construct or places Addition to mobile home dwelling (porch) t.
at the above location in accordance to application together with plot plans and other information hereto filed and p
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
0
t. OWNER'S Address is RD #4 Box 230 Ohio Ave. y
Glens Falls, New York
rt
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
0
0
4. ARCHITECT'S Nettle1
C
N
7
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
I x)Wood Frame I )Masonry I )Steel (
7. PLANS and Specifications a
No. 12'x20' per plot plan, specifications and application submitted. w
rt
0
O
B. Proposed Use
Dwelling (porch added)
0
. Ira
o
o r
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Jan. 1 19 87 m It
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ` 0
town of Oueensbury before the expiration date.) co
E
Dated at the Town of Queensbury this 4th Day of June 19 86 m
Y
�104a .
SIGNED BY R/�¢�7 for the Town of Queensbury w
Building and Zoning Inspector `/�
i i TO HE COMPLETED BY BLDG. DEPT.
CC7'/ Application No.
. ✓Own of Qurfndury Permit Issued 19 fOWN OF QUEENP,'=
/ BUILDING and ZONING DEPARTMENT Permit Expires 19 `` NI \,p
Bay and Havilantl Road. R.D. 1 Box 98 Zoning Designation C./tt.- S S LL L := I :I
Queensbury, New York 12801 Variance No. _J
Site Plan Review No. : 1 :L+}r ,
l. 7 — 7 1 - 8 APProQed b A.M. V)---- i 43! id-M.rV1 APPLICATION FOR 711,1? -..4112116
BUILDING AND ZONING PERMIT
No 40
* * * * * * * M • * * * * * * R % N M f • ■ * i • N * M • • N M * * * * * M::►
A PERMIT MUST BE OBTAINED BEFORE BEGINNING 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: *J C}t N h/ e /f L F A 4 RI
P.O. Address O1tiO AV2 RI) 4 /lot 230 Gtovc F//LLS /V Te1.773 -•2G3
Property Location: O Ih 0 A V - rJ y5 -11 4'6 1. Tax Map No. / /_
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION, OF WORK AS RECARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder 7Q/UI wONI.Fh /Lr Address 0//(10 1W R O f)30R23 o Tel. •77) — 2 4' 5 (v
Name of plumber ` Address 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,
)(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 (de_scribe) !pa Kc( 400i-s1.✓ * set-back dimensions from property lines. Give
TO MQL5 ILEr Nom L * street and number or lot number and indicate
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property (ru ft X /OC) ft.
* Existing building(s) Size /2- ft X 60 ft. /1/.//o*+E
PROPOSED BUILDING AND USE: y 23XZ� FT GMLRGE
Existing building(s) Use eivfLL(AAV
Size of new structure /Q ft X'2oft *
Foundation pie slab/crawl/partial/full * Proposed building, distance from property line
(circle one) "
* Front yard n-U Et Rear yard 2 o ft
No. of stories (habitable space) * Side yards / O ft and / 0 ft
Height (grade to ridge) Is - ( a ft• * If on corner, setback from side street -it---
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATIW
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathroomsheating �, * +KOne family dwelling
Primary heating systes( * Two family dwelling
*Type of fuel ,/ * Multiple dwelling / Number of units
No. of fire ces to be installed
• _Permanent occupancy
Will a stove be installed? Transient occupancy_
Cent Air conditioning? * Business
BUILDING STYLE, PRIMARY STRUCTURE _Industrial
* Other
Ranch Contemporary Log cabin * If addition, what will use be?
Raised ranch Mansion Duplex p K.Ct( —
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House Detached garage/one car/ two • car
( CIRCLE ONE PLEASE ) * )(Attached garage/one car/ wo ca Car
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BP. 4/".6 16r1-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, mod frame fire safe,etc.
Will any second-hand • o • lumber aed? If so, fo
Foundation wall material CoNC. Bo ' "
Depth of foundation below grade (to bottom Thickness of footing) ye "
Will there be a cellar?—Heated or unheated?--_.. Floor sq. footage sq ft
Will there be a basements---- Will any portion be used as living space? --_..-
(If so, what portion? -- s•.ft. - - Type of use?
Type of roof - sloped/flat OP other Material of roof /1/6 I-4(..__
Size, wood studs "X spacing "o.c. length ft.
Joists(floor beams) 1st. floor J "X Sr " spacing /6 "o.c. span ) U ft.
Joi
Overlays(ceiling beams) 2_ 'x ( " spacing /G "o.c. span in ft.
Roof rafters 2- "X ( " spacing /6 o.c. span // ft.
• _--ro:r.-span—.fit.
Exterior wall finish Si. O WL., Of what material? OI AN/
Interior wall finish Loon PA -1U I ufo OVS- Sll b(— to c/c
If a garage is ac ed, desc 1a s to be used for FIRE SEPA N:
Is there to be an ope etween garage a ing? If so w'il a Fire-rated
door, enclosure self-closing de ' be provided?
Will a flu ned chimney be i led? Height e roof ft
Depth chimney foundati elow grade f
of fireplace h h ft. in.
Ater supply - Municipal or private
SEPTIC SYSTEM Distance from AJ:Drprivate well(includi djoining proper ft.
(A separate application is necessary for any repa r new installa ' of septic system)
Town of Queensbury
County of Warren AFFIDAVIT 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 other laws pertaining to
the propos d work shall be.complied with, whether specified or not, and that such work is
authorized y the ow V
SWORN TO BEF ME THIS Signature)( 4 � 1 ,�click—
Owner, owner's agent arcnicect,contractor
/ day of 19_
Notary Public, Wa en County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
' By
CC77 To
! awn of Queen31ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
(pp{{ Oueensbury, New York 12801
I BUILDING INSPECTOR' S
REPORT
NAME (A I Q Vz
1
LOCATION G/(Di
1 Date t / Cc permit No. gri- 111
5 * * * * * * * * * * * * * * * * * * *
r/ = APPROVED - YES NO
IFooting/Pier Forms
! Foundation
Waterproofing n�
f (4-ackfill
I Framing
1 Roofing S
9. Siding
III
IMasonry Veneer
Rough Plumbing _
Relief Valves _
Ext. Porches _
Finished Floors _
Itairsor Trim -_
Stairs & Railings -_
t Cellar Drain Tile
I Concrete Floors __
Plbg. Fixtures �=
Gar. Fireproofing
t Door Closers =_
I Smoke Detectors
F� Chimney all
INSULATION:
I Foundation _=
M Floors
Walls _
Ceiling
` FINAL ELECTRICAL INSPECTION
Final Building Survey
1 Next scheduled Inspection(call when ready)
Remarks- -
IBui 1837fg Inspector
6/86 and-vl
r\\9a184o Psi I-E-Ft-C1t - c&A.sidc
4'‘35S c7
Jown of Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING\INSPECTOR 'S REPORT
r3-F It
NAME (Jn L E J ks CW h - X1R.Y� SO_
LOCATION or.;10 Air;
Date lla,a /26 Permit No.St.•
* * * * * * * * * * * * * * *
* R * *
✓ = APPROVED - YESI NO
V Foot' /Pier Forms 6V
oundation
waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs 6 Railings Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - g(�
Building nspector
6/86 and-vl
I 1
s ,
V_l Y
P
a
\---- /
4.2
i - _ n
r in
In C o '/
o z
�e ,
A.
I I �� � � -. O
_ /
0
V V1
_ .{ iA Lam+ ,�, ,... _ 11
��- �� 1 N -
Zn _ j .Ii �t .
to t o i • \
5z. a tirt
V.,
7'S\
_
C N
��o ,t Si °, o 0 0
fl Y 711
n
r y
N
; I Z o
N
[RoNT 'fAR7?
/\
<A -
�° il r
, .___:_i _
`n
7 I� Ko ''osto ' - �" A ,::
by
1 , Po2cR t . _12
/ _�.Y__ .-__-___ Ek
,,
`F.
,�
(---. / N G AGO; hiPM ' _t /'lb
i I E
00 LI pc It
n , ` ;
t z 2 Y_
'ice-- =� ,.-._r:1 2
[RONf Y*Rp
I , ti .k ,
4O t LIT fVo _car- 59
...V ,Q t .` ( kit Ave
i .
//�yyy 518/793-1695
ch �+lQll�f 1of,-- GLENS FALLS READY MIX, INC.
L+1 r .0 '- - L1 BIG BOOM ROAD • GLENS FALLS, N.Y. 12801
- READY MIXED CONCRETE
--C
700 / w
1
1 JMNN worn FAfRT
4 if 'pc el) ',
I
CT.,
JI e/V Ce L / NCL d. PRop. L 'Ni
{ £