1986-442 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-442
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to natt Clark
OWNER of property located at 10 Sycamore Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (porch)
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. z
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1. OWNER'S Address is 10 Sycamore Drive rr
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
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same CD
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
( Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications p9
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No. 12'x16' per plot plan, specifications and application submitted. rt
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8. Proposed Use rr
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One—Family Dwelling — screened porch added P,
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1 1987 °q
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the [n
town of Queensbury before the expiration date.) n
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Dated at the Town of Queensbury this 25th Day of July 19 86
SIGNED BY /�l � � for the Town of Queensbury
Building and Zoning Inspecto ..
TO BE COMPLETED BY BLDG. DEPT.
�] Application No.
• _Jouin o f Queen.iurf Permit Issued 19 23 /�1j
BUILDING and ZONING DEPARTMENT Permit Expires 19 F �Q�����3LIRY
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation KEG1I L�bry
u , New York•128p1 'Variance No
Queens .
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Site Plan Review No. J U L 2 3 N 6
61d _ - t i Approved by: •49. /4 Pie G l�P. O'
APISLICATION FOR 6e/MatAAt;) • 18'91� 8I,1 I5 J9
BUILDING AND ZONING PERMIT
. * * * *• * * * * * * * * * * * * * *• * * * * * * * * * * * * * * * *. * * * * *
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: 11ARYT•6-1s{-1-(2-k
P.O. Address la S P k1Li Tel. 7 cf 6-3
Property Location: [)Dv)!- Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) .Th e- P jN fi cR
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder 'r NiL Address Tel.
Name of plumber Address Tel.
Name of mason oc,,0I.'-4— Address Tel.
NATURE OF PROPOSED WORK: •
* ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
I/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 and1.indicate all
Other work (describe) * set-back dimensions from property lines. Give
• * street and number or lot number and indicate
FOR DEMOLITION PERMIT,. STATE SIZE AND * whether interior or corner lot. Show location
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
•
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 1.3 c, ft X j ZO ft.
•
* Existing building(s) Size6g ft X r{ ft.
* . . . .
PROPOSED BUILDING AND USE: .$r41%Ai-�9°✓-P-1'�
• * Existing building (s) Use e h4-04 I 4 f',-1 i/ (f.�--4,7 -
Size of new structure Z ft X I ft * '
Foundation-pier/slab' •artial/full * Proposed building, distance from property line
(circ one)
*• Front yard ft Rear yard C ft
No. of stories (habitable space) t * Side yards 2 ft and 4y1- ft
height (grade to ridge) f ft. * If on corner, setback from side street ft
If residential, no. of families
• No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms
* PRIMARY BUILDING -
No, of bathrooms V'6ne family dwelling- .
Primary heating system *• Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No, of fireplaces to be installed
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE ,� Industrial
Ranch Contemporary Log cabin * Other " 7
Raised ranch Mansion Duplex * If addition, what will use be. ;-U4� ),DAC4`j
Split level Old style Bungalow
Ca e Cod Cottage Other * ACCESSORY BUILDING- •
ColoniO7 Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * '---Private storage building
ESTIMATED MARKET VALUE OF *'7—Other
CONSTRUCTION *
$ .-C 00d. 00
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.
Will any second-hand oY- �cc3�d lumber be used? If so, for what? r11/4-
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Foundation wall material
1,1a Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? r Floor sq. footage ( Ci 2 - sq ft
Will there be a basement? Po Will any portion be used as living space? -^ ,(
(If so, what portion?.. s . . - - Type of use?
Type of roof - sloped/fla shed ther Material-of roof 235- ` = p-iW-/rf�S; .t A-a/ -7r
Size, wood studs a - "X 4 spacing "o.c. length ft.
Joists(floor beams) 1st. floor 7 "X (c " spacing (A: "o.c. span LC- ft.
Joists (floor beams) 2nd. floor -- "X .--- " spacing "o.c. span - ft.
Overlays(ceiling beams) 2_ "X " spacing (,4 "o.c. span 17- ft.
Roof rafters 1- "X " spacing (( o.c. span j 2— ft.
Roof trusses(pre-engineered) spacing "o.c. span
Exterior wall finish C Q /vljJ 4.- 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 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
County 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 iiertaining to
the proposed work shall be complied with, whether specified or not, and th t such work is
authorized by the owner. •
SWORN TO BEFORE ME THIS Signature_ --- U
Owner, owner's agent,arcnrtect,con ractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
By
awn of Queenit urey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' SdOLL
REPORT
CAL NAME V +
LOCATION fit)c� // u
gli„,,,,,_
Date e ? / __ P rmit No. glo— 41-2—
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES I NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
i,F1:ami ng o C�
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
\\\
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors \ /
Plbg. Fixtures
Gar. Fireproofing / `':
Door Closers j
Smoke Detectors f'
Chimney 1
INSULATION: /
Foundation
Floors I
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey t
•
Next scheduled inspection (call when ready)
Remarks-
•
60/6
Building Inspector
6/86 and-vl
�CCalG�w 9 Pn
_own of Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ,n,)&7-t C1ar./l
LOCATION ) o Sy c--- � .
Date el/ 7 / s Permit No. 8
* * * * * * * * * * * * * * * * * * * * * * *
00/ = APPROVED - YES / NO
Footing/Pier Forms i
Foundation
Waterproofing
Backfill �)
'1,Framing CT`-(
Roofing
Siding
Masonry Veneer
Rough Plumbing
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
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
)6 1412.A.A..
,mot 6,„.cyr„ax_ JecL „cie_<
1=77-
14744<-5.44-1Z3
Building Inspector
6/86 and-vl
1 fPLc� t
Jown of Queenhur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /14TT l 4 yfr
LOCATION 0 S:4C MOg6
Date VZ_S7 Permit No. SID -y'4�
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
F(Oting7iyer Forms 190 4 -
Foundation
Waterproofing
Backfill
Framing -\ / ,
Roofing
Siding ,�
Masonry Veneer '''.X. /
Rough Plumbing ''N./
Relief Valves
Ext. Porches ,/
Finished Floors /
Interior Trim / \ ,
Stairs & Railings
Cellar Drain Tile `\
Concrete Floors \
Plbg. Fixtures /� \
Gar.. Fireproo ing
Door Closers
Smoke Detec ors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next'scheduled Inspection(call when ready)
Remarks- -
Qe ( r
• 0tccift_ 0,,kk_ YJS 1 -.
1�43 (0-6°G/0
Clil- _j
Building Inspector
6/86 and-vl
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