1986-449 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-449
/�-�� WARREN COUNTY, NEW YORK cAin
PERMISSION is hereby granted to Roger Woodruff °Q
co
OWNER of property located at \ 91ark St. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Deck
at the above location in accordance to application together with plot plans and other information hereto filed and ,,-'ter,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 13 Clark St.
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
H
3. CONTRACTOR or BUILDER'S Address
same
cn
..
4. ARCHITECT'S Name :rr
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel (
t7
7. PLANS and Specifications co
No. 10'x14' deck for pool per plot and application
8. Proposed Use
Deck
d. 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 1987
(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 28th Day of July 19 86
SIGNED BY ea a✓ , for the Town of Queensbury
Building and Zoning Inspecto(
TO BE COMPLETED BY BLDG. DEPT.
awn
No.
awn o f Quee,zitur, Permit Issued 19 TOWN OF QUEEINSBUr"
BUILDING and ZONING DEPARTMENT Permit Expires 19 RECEIIVE. b%
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York•12801 Variance No.
Site P an Review No. J U L 2 51986
~ Y APPro d byi G✓:v /���
P.M
7181911 ' 11 IWI
APPLICATION FOR tl ° ° B
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
he 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: 66 10 ito1�,LUicF •
\
P.O. Address Tel.
Property Location: /3 0,4, L . Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: '
&,. W o ky f3 ezdize. 54. `75g-3---".)-//
Name ° P.O. Address Tel. No.
Name of builder Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED 't)RK: * 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 andlindicate all
Other work (describe) * set-back dimensions from property lines. Give
,.Der ''. street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUUIRED BELOW.
* Size of property Is Q` 4,k_
* Existing building(s) Size ft X ft.
Gv4. 1 t I AAA `i- 900 PROPOSED BUILDING AND USE: * Existing buil ing (s) Use
Size of new structure ) d ft7 ft
Foundation OW/slab/crawl/partial/full * Proposed building, distance from property line
*
(circle one) * Front yard ft Rear yard ft
No. of stories (habitable space) * Side yards ft and ft
Freight (grade to ridge) f * If on corner, setback from side street ft
If residential, no. of famiXies ,//
' No. of rooms(excluding ba(hs) / * OCCUPANCY INFORMATION
No. of bedrooms / • *
* PRIMARY BUILDING -
No, of bathrooms
Primary heating4ystem / * One family dwelling
Type of fue17 �/ * Two family dwelling
i * Multiple dwelling / Number .of units
No. of fi eplaces be installed Permanent occupancy
Will a od stov be installed? —� *
* Transient occupancy
Cent 1 Air c ditioning? Business
*
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Other*
Ranch Contemporary Log cabin If addition, what will use be?
Raised ranch Mansion Duplex *
Split level Old style Bungalow * aki.Ge1 /NP!!:?
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) O I cre 'Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALE OF * 41ther P '
CONSTRUCTION $ 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. GU OOI'
Will any second-hand or ungraded lumber be used? 'If so, for what? A/(D
Foundation wall material Q J C12 Thickness Q'
•. Depth of foundation below grade (to bottom of footing) La "
•
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement? Will any part-Ion on be used as living space?
(If so, what portion? • sq.ft. �i'yp Hof use? `.
Type of --oaf sloped/flat/shed/9 el{r Material.
Size, wood studs "X ��pacing "o.c. length.- ft.
Joists(floor beams) lst. l'oor "X " spac'n'g "o.c. span ft.
Joists (floor beams) )d: floor "X • " acing "o.c. span ft.
Overlays(ceiling ms) "X " spacj "o.c. span ft.
Roof 'rafters "X " spacing o.c, span ft. s�..,(� D YtArd \�‘il/ta
Roof trusse pre-engineered) spa k69 "o.c. span ft.
Exterior all finish Of what material?
Inter' r 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 ail-l---a-Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? _.,-Heigh t above roof
Depth of chimney foundation below grade--' ft.
Depth of fireplace hearth ft:" in.
Water supply - Municipal--nr private well
SEPTIC SYSTEM ance from ANY private well 'eluding adjoining properties ft.
(A separa application is necessary for 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 app ication, gether with the plans and specifications submitted, are a true and
complete statement o all proposed work to be done on the described premises and that all
provisions , the ILDING CODE, THE ZONING ORDINANCE, and all other laws rbertaining to
the Proposed ork shall be complied with, whether specified or. not, and that such work is
authorized iby th• owner. A
•
SWORN TO BEFO• ^. ME THIS Signature �,'.io.- 'IJ
Owner, owne , n to t,contractor
day of 19
Notary P i•lic, Wa en County, N.Y. •
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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• APPROVED BY:
' SCALE: DRAWN BY
' DATE: REVISED
' DRAWING NUMBER
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