1986-663 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86_663
WARREN COUNTY, NEW YORK
9(:)1
PERMISSION is hereT� " rarSted to Dick and Helen Cutting
Y9
OWNER of property located at Su ' e oad eei,Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations to dwellings (roof) t7
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.
1. OWNER'S Address is RD #1
Glens Falls, New York i
0
2. CONTRACTOR or BUILDER'S Name rt
rt
same
3. CONTRACTOR or BUILDER'S Address
same
cJ
0
0
4. ARCHITECT'S Name `•C
H.
m
7y
5. ARCHITECT'S Address
P.
6. TYPE of Construction—(Please indicate by X)
( Yi Wood Frame ( ) Masonry (, ►Steel ( .1 0>
- N
rt
7. PLANS and Specifications rt
rt
new roof over two structures Camp #4 22'x25'
No. Camp #8 217x37' o
per specifications and application submitted. v,
8. Proposed Use rt
O
Rental Camps (alterations to roofs)
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 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.)
Dated at the Town of Queensbury this 8th Day of October 19 86
SIGNED BY 0• N.� for the Town of Queensbury
Building and Zoning Inspector '/,
TO BE COMPLETED BY BLDG. DEPT.
// Application No.
JO/4/r! of Queers ibur y Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QUESNS8URY
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation IR E V Queensbury, New York•12801 Variance No. 0
Site Plan Review. o.
5-6 ._ /- ;- SEtO
2 01
Approved by: l r(-fret 4.16
APPLICATION FOR '18I91. �1213141a 1c
. B B B 9 V i 011 B nil
BUILDING AND ZONING PERMIT ti
. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *::*
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.
r L
•
The owner of this property is: 1&7/i r Me-i—k A/ ( i r/"/G d° 9T
P.O, Address 0/ ifiX jf3 f/,,,,'/YJ,o/C v rii,f,✓IBeily / , 7.?1- l. 7 IY 77G
�''
Property Location: Tax Map No. ,� o/ I / 0
Street number or building lot number .
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
/2/(/( ,/u —7-, 7,/� 4,••"N '
Name P.O. Address Tel. No.
Name of builder J2/Cfj // (v 7,--/ Address Tel.
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 (describe) * set-back dimensions from property lines. Give
c * 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 REQUIRED BELOW.
* Size of property ft X ft.
* Existing building(s) Size 22, ft X 25-- ft.
*
PROPOSED BUILDING AND USE: * Existing building (s) Use r",s,
Size of new structure ft X ft * '
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) *
No. of stories (habitable space) * Front yard 2 z• ft Rear yard 1 C ft
Height (grade to ridge) / ft. * Side yards ` ft and ft
If residential, no. of families j
* If on corner, setback from side street ft
• No. of rooms(excluding baths) .Y * OCCUPANCY INFORMATION
No. of bedrooms *
* PRfl9
bathroomsBUILDING -
No. of / * June family dwelling
Primary heating system j/vj A-/i/? * Two family dwelling
Type of fuel Aie4r6p-A44"
No. of fireplaces to be installed •---- * Multiple dwelling / Number of units
Will a wood stove be installed? A/O * Permanent occupancy
Central Air conditioning? /I,/0 * !.---'Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Log cabin * Other
* If addition, what will use be?
Raised ranch Mansion Duplex
- Split level Old style Bungalow *
Cape Cod ttage 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 F *'_Other '
CONSTRUCTION $ �OCI� _ *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OP THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl •
i
BUILDING PERMIT APPLICATION CONTINUED - _ v fi
BUILDING SPECIFICATIONS:
Type of construction; wood frame, fire safe,etc. Up
Will any second-hand or ungraded liner be used? If so, for what? •
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage 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 - slope3/flat/shed/other Material. of roof A6/2ix %/ -64z; _ ///mgze-
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters .g "X 2 " spacing /( o.c. span /AZ ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish 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
County of 4Jar n 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 liertaining to
the proposed work shA11 be complied with, whether specified or not, and that such work is
authorzekb,y the drier.
SWORN TO BEFORE A THIS Signature___
- Owner, owner's agent,arcnit ct,contractor
day o 19 //
Notary P lic, Warren County, N.Y.
* * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
AfirCk) R d • 0 V rttio S-ra i c r V VL
rAm
•
•
•
By
C ct,.11 210c /v % 7 /d'C /c : 3 a i� k27,
_town of QuEenitur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
. NAME /3% C
LOCATION Scl rt rty S • d /fit P
Date /o- h 6/ ?G Permit No. Y G - 6 G 3
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
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 •. V
Plbg. Fixtures /
Gar. Fireproofing
Door Closers
Smoke Detectors f
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- A (/..-5,
() 72. ees---#6L
) //
Building Inspector
6/86 and-vl
fjtoPAR;Y 0% /,/cX r- //Aix n/ rvri/4/‘--
•
Agri,/ /,f rnPf /A.H V 1,,,,,dY/IO" .
�d.
• •
. o i JI 1f:�
• Y' 0 1
�'- N
2%• N "! L7ci17mit�xb r A2t'laii
/0
/f, u/ 0,4N ,1,vr (( ,i fr gr 1/' G ' ✓. .�A�r f.oi. x-
ire'?J 2 x 1 • h /G o A/ `/ZN Tf/Z
• p,,,f A
7/G i./Allt✓// ./1
/z i i Air*'/{{,///.df1/ff
I
ti
\k 8 • I
•J- \�.
I4 • V�
8. 2 M • ` ;.
•
, h � �£ • is
�� �� \��L•
D
. -,\4/19 ' .°. -..-,',.. .;-.........:_,';,-...:_-:::.A.7..-.ii4y.,,5. ...,.. :::iti-,,•.-:;•.;..:. ,.- ... ...- .
o \ a '• -- •
i, , 7-,,.•
-,,;,••••,,....-•-_,:::•:•:,-•••-..•.„-..:•••„,,,--•r,-..- - • - -)
,,,,:.:,:,,,,,••:-..::::::•„,„:„..
• 6-0 •• •,/. • , K
\ - \., • . -
k'..:: . 'c 1 1711. :•• ''' : . ' '• ' : . ...•'..:.::,"::::-..•:,j!-.::•••:,:',,•-.• ••••, ••• . , \
;.,,,-•••.• • ii•r••-:.:••:,,,, :.. ,.,: ...... -. . •\,.4 , N , .
,,,, , , .\... .. .
•
04
i••, .,..„....-....,-(;:.:;; ;,...i••,...,..f.,;..,:.:..„ ,....:,-..,-;:-.... ...AC-0 ‘;.(1:) /0
M ,�
h v
r . ., . .. .....,.
.. . . . , •-\„ , ,,,,,,,
. , „
�O
G6 ti�iii may, , .
fY
o
G7 Q
•
$ •• • o
Si r
3 •
oco