1986-539 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-539
31 (P WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Rosemary Threw
,L
�,ff (former Baile C Street, Road or Ave.
OWNER of property located at �� "'`—
in the Town of Queensbury,To Construct or place a Alterations to dwelling (foundation) rn
rD
at the above location in accordance to application together with plot plans and other information hereto filed and w
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. - frt
,c
H
1. OWNER'S Address is RD #4 Box 516A n
Glens Falls, New York m
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
O
same �h
td
r•
00
4. ARCHITECT'S Name
rrJ
0
Iv
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( I Steel (
7. PLANS and Specifications
raise building 2 ft. on existing foundation per specifications
No. and application submitted. rt.
co
8. Proposed Use .. rt
One-Family Dwelling (foundation alteration) f-n r•
0 0
G �
a,
w rr
rt 0
r•
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 87
(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.) N.
OQ
Dated at the Town of Queensbury this "5th Day of Sept. 19 86
•
•
SIGNED BY ✓J"ICLd 0, for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.
cam/ Application No.
✓Olen of Queenilury Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 a OW OF QUEENSBURY
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 1Q. [ C L! Ii V IE, El
Queensbury, New York 12801 Variance No. 1I
Site Plan Review No. _ "� AUG }
I — _ / Approved by: 7 t�A& ra (D { �9V �i'M.
APPLICATION FOR it 1/ ;18191 i0��1)L2)• 1,213)4,516
,
BUILDING AND ZONING PERMIT ____ __
* * * * if * * * * * * * * * it * * •* * * * * * * is if. * * iE * * * * * * * * * if
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: a_sprnnty 711 re—tii)
P.O. Address ;., q 136X /{„ !1)r 1� n� �rJP/IC /�S Tel. 793--6 7/y
'Property Location: KNAF}2 12)l1-i L-ey CrlolP - 6 Fr PI) 7 Rri.Y fed- 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:
1-P-r-(r Q." ' 1 rC.P ,w Y n (--/ 6 y ri 1n $ . •3 i cj 1 iN i --
Name F.O. Address .Tel. No.
• Name of builder Address Tel.
Name of plumber Address Tel.
Name of mason r-{-r{I• eA/ — 1j)P j) Address/'.) Z/ 7 ry .S"/c, i3 t ))c& frfrgel. --
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 (describe) gt( 1'S.e be y. * set-back dimensions from property lines. Give
c�i
.± E,n y )-i 0 y Fo Unr/u i-A rh street and number or lot number and indicate
FOR DEMOLITION PERMIT STATE SIZE AND * whether interior dr 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 / —C.) ft'X"'' f tc.) ft.
* Existing buildings) tize 2 L/ ft X ? Li ft.
. *
PROPOSED BUILDING AND USE: * Existingbuilding (s) Use
9 r�le(� ` inI
Size of new structure ft X ft *
Foundation-pier/slab/cam`a 7partial/full * Proposed building,f distance/� from property line
(circle one) * Front yard !°' qt"/ear~ d^ ft
No. of stories (habitable space) / * Side yards ft and ft
Height (grade to ridge) i,?j ft. * If on corner, setback from side street ft '.
If residential, no. of families /No. of rooms(excluding baths) :3 ' * OCCUPANCY INFORMATION
No. of bedrooms • / • • *
,,r PRIMARY BUILDIN -
No. of bathrooms !'
Primaryy heatin *' 7�One' family dwelling
g system �=��r' h1 �- * _ Two family dwelling
Type of fuel — ' —
No. of fireplaces to be installed ,-- * Multiple dwelling / Number !of units
Will a wood stove be installed? — * •
Permanent occupancy
Central Air conditioning? � * • Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE ,�' ' Industrial
Ranch • Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow * .
Cape Cod Cottage) Other * ACCESSORY BUILDING-
• Colonial 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 * Othe.r ' • ' • ' ' •
CONSTRUCTION $ • -00 COD--7 ---
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, rame, fire safe,etc.
•
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material /{( ',vr 7 ((2A-5 Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? r,/® Heated or unheat ? Floor sq. footage 6-76 sq ft
Will there be a basement? 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 r, /V/,;1-67,G o 5
Size, wood studs 9 "X L/ " spacing (/ "o.c. length 7'' ft.
Joists(floor beams) 1st. floor J "X " spacing lc; "o.c. span :Le/ ft—
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) -t/ "X " spacing "o.c. span .2 i( ft.
Roof rafters '7 "X 4/ " spacing (� o.c. span •7 c'ft. —T
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish r/c r,.,7J5e ( ,1, (, Of what material? Z� ��
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 ►''l l,(11 i - r 10(4 Q
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
T swear that to the best of my knowledge and belief the statements contained
. in this application; together with the plans and specifications submitted, .area. 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 roposed work shall be complied with, whether specified or not, and that such work is •
auth ized by the owner.
SWORN T BEFORE ME THIS Signature ___ ____ •
w er/ o is agent,arcnitect,contractor
day of 19 .
•
Notary P ic, Aarren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS THE PERMIT:
•
•
•
•
•
By
113 0 c- ?;-5— 17-1,1
Jown o/ Queeniburcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME IIOSQI'ncGy eu3
LOCATION .�
gG- s37
Date / ,% Permit No. .;�.
* * * * * * * * * * * * * * * * * * * * * * *
/ ✓ = APPROVED - YES / NO
/ice Footing/Pier Forms l K
Foundation
Waterproofing
Backfill
Framing
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- -
(1/9e),4L242)
Building Inspector
6/86 and-vl
^
_ |_ -_L__��__��------ -- -- ------��-
|
\
---- ------------ ---~--- ---' ------r -- �
i __-_ -- �-- -- --- --- - - --- --�-
|'--|--'----- --� -------- -----'--1 } . / / / / |