1986-711 BUILDING PERMIT
TOWN OF QUEENSBURY No 86-711
WARREN COUNTY, NEW YORK
PERMI ION is hereby ranted to Gerald W. Wheeler
OWNER of property located at 6 Stephanie Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Car Attached Garage
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.
n
1. OWNER'S Address is 6 Stephanie Lane a
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
F-'
same co
n
3. CONTRACTOR or BUILDER'S Address
same
rn
4. ARCHITECT'S Name cn
_ rt
co
't7
0
5. ARCHITECT'S Address
m
6. TYPE of Construction—(Please indicate by X)
( A Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications 0
0
ro
No. 20'x22' per plot plan, specifications and application
submitted.
n
8. Proposed Use rt
One—Car Attached Garage
m
a
$ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1987
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
ro
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 20th Day of October 1g 86
SIGNED BY / // wY+� �N for the Town of Queensbury
Building and Zoning Inspector
0
TO BE COMPLETED BY BLDG. DEPT.
f Queeniur ._Down O ";C OF QU . , gjpy
Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 Lit I ' F
Bay and Haviland Road, R.D. 1 Box 98., ' Zoning Designation . j���j
Queensbury, New York 12801 Variance No.. 1:0CT •l . '`
Site Plan Review No. A • i, --- -c
Approved b {jiO;. 6Q t ` k
APPLICATION FOR 6(..J/F� / ,/,,...--'.' j
il
• • 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: G&RAIcL /V, /J / Lg,
P.O. Address (, S 7 ./i¢/hNIe L An/e GLENS FALLS NE.) SJ4�if1 /oQBUF/ Tel. 993-3G79
Property Location: LOT 141, Tax Map No. / /•
• Street number or building lot number . . .
Subdivision name.. (if applicable) S 76PHI9/KZE L R • •
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
•
. Name P.O. Address . Tel. No. '
Name of builder S E L f Address ‘ ST6',9r09/1/.2:E L -iYY Tel.. 2 3G?q
Name of plumber • Address ' Tel.
Name of masonD 1 C k Sm 14 Lei ON6 Address 1-/140,50/1/ F/9LeS Tel. 7 -9d?/ •
NATURE OF PROPOSED WORK: * ZONING INFORMATION: '
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, ..
X 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) 0/1/6 C Flfs, * set-back dimensions from property lines. Give
p-?f{1�66., * 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 /pp ft X /82,.i.c.ft.
• * Existing building(s) Size a5/ ft X S/ . ft.
. PROPOSED. BUILDING AND USE: '�
* Existing building (s) Use ReS 1 `, ' '.
Size of new structure ;,e, ft X aoA ft *
Foundation-pier/slab, crawl/partial/full * Proposed building, distance from property line
circle one)
No, of stories (habitable space) * Front yard 80 ft Rear yard /Q�, a.5 ft
* Side yards a5 _ft and „,?) ft
Height (grade to ridge) /'i/, ft. * If on corner, setback from -side street ft
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
•
*
No. of bedrooms
• No. of bathrooms ' ' * PRIMARY BUILDING -
Primary-heating system . One family dwelling
•
Type of fuel * Two family dwelling
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
RAngh ' l m•tomparary Log bin * ; }�Other •
piVE C <1�'A6
Raised ranch Mansion Dup1eX If addition,' What win u 6 c. ` ,,9;4HGE.
Split level Old style Bungalow *
Cape Cod Cottage Other) * ACCESSORY BUILDING •
-
Colon'i.al Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * )< Attached garag one ca / two car/ ' car
•
. • * * '* * * * * * * * * * * * * * * * —Private Private storage building .
•
ESTIMATED MARKET VALUE OF *' Other . . . . . . . ' . " " .
CONSTRUCTImN $�-�,,a0�
•
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. ixiCkDCD -ce20.11w1C-
Will any second-hand or ungraded lumber be used? If so, for what? NO
•
Foundation wall material CONCR&TF; Thickness 8'`" •
Depth of foundation below grade (to bottom of footing) tJ '
Will there be a cellar? NO Heated or unheated? IJNO/E'WTJ Floor sq. footage / 'O sq ft
Will there be a basement? NO Will any portion be used as living space? No
(If so, what portion? sq.ft. - - Type of use?
Type of roof slopeOflat/shed/other Material of roof St-IT AIC;Le
Size, wood studs "X r " spacing j 4/ "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 "X " spacing o.c. span ft. •
Roof trusses(pre-engineered) spacing a l "o.c. span e, ft.
Exterior wall finish Of what material? Cc3Lor2 L o is
Interior wall finish: )) A/6
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
S 1-k -c ROCK •
Is there to be an opening between garage and dwelling? 00 If so will a Fire-rated
. door, enclosure, and self-closing device beprovided?
Will a flue-lined chimney be installed? N C' Height above roof ft.•
•
Depth of chimney foundation below grade ft.
Depth of fireplace hearth — ft. -- in.
Water supply - Municipal or private well my L)I C I 'PAL, •
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 ofQ• Warren A . F F ;I D A V I T STATE OF NEW YORK •
County 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 donelon the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether specified or not, and that such work is
authorized by the owner.
•
SWORN TO BEFORE ME THIS Signature 2Q _QAL
Owner, owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* .* * * * * * * * * * * •* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: •
•
•
•
•
•
•
•
•
•
By
( c /lamC7Iolea (f(
Jown of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME G ey-ctic1 lOh eel el--
tLOCAT o a pmN (n Sr'ep/,a e /ui2
Date /0/02/ /ro Permit No. to —7 11
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
ycFoundation d rl
Waterproofing
(,8ackfill O k
C
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
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- 54,e( ( -
wi��
Building Inspector
6/86 and-vl
Jown of Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Wtf&- LLie-
LOCATION gP(//CIV/I-: LA-A/C--
Date /0//6/ Permit No. 86 -
* * * * * * * * * * * * * * * * * * * ** * *
$0' = APPROVED - YE,9' / NO
(Doting Pier Forms /ji 49,,b- V
Formation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings- - - -- -
Cellar Drain Tile
\i/c
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- -
je-
fAtent- 0 a/14 2-Lt
Bui ding Insp tor
6/86 and-vl
• • •
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