1987-211 BUILDING PERMIT
TOWN OF +QUEENSBURY No 87_211
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
James Patrick and Judith Dee
OWNER of property located at Vest Mountain Road Street, Road or Ave-
Move existing building on lot for storage
in the Town of Queensbury, To Construct or place a �
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. Fc'.
rt
1 . OWNER'S Address is RD # 2 d
rn
Glens Falls , New York �
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address �
same
m
0
a
G
4. ARCHITECT'S Name :j
rt
w
r�-
7a
0
5. ARCHITECT'S Address p'
si.
B. TYPE of Construction — (Please indicate by X)
( } Wood Frame I } Masonry ( ) Steel { }
7, PLANS and Specifications
move existing 16 ' xl6 ' building on lot for storage
No, 0
a
C
m
S. Proposed Use
ua
Storage building a
�s
w
uq
m
g, 5 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Dec ' 1 t8 87
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ;y
town of Oueensbury before the expiration date.I
Cto
87
Day of yg 0
Dated at the Town of Queensbury this Sth Ilan'`-- th
rt
o
/ ff v
SIGNED BY for the Town of Queensbury
fSuilding and Zoning Inspector �^
f4, ; .
TO BE COMPLETED BY7BLDGw DEPT .
r Application NO . T VVN (D
own O/ QLleen3 [7ury Permit Issued ���BUILDING and ZONING DEPARTMENT Permit Expires [jq
Bay and Hawiland Road, R.D. i Box 98 Zoning Designation
Queensbury, New York 12801 Variance No . MAY X 1997
Site Plan Review No . I
I -- Ap/prove BUJ -DINGy : & C07DE DEPT, ' +
APPLICATION FOR
�v
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 =-__r---- ----------- .........-........
---
The owner of this property r-� 4 /,r Tel .
�� fI � /� .0V IA 6 r
P. O. Address G�J/ �1/`,/�/ r ./ , ' -- / ,/ No . .
% T �V
Property Location : /' .� C/ �'" I j/ Tax Map No _ / /
Street number or building lot nLunber
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS :
Name P . O. Address Tel , No .
Name of builder. Tel .
Address Tel .
./ -'/ i L -___ c�' G Tel '
-
Name of plumber Address
Name of mason Address Tel '
NATURE OF PROPOSED WClRK : ZONING INFORMATION :
_Construction of a new }wilding
* 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 wcRrk (describe) LLf" ]1f/ set-back dimensions from Property lines . Give
��Ar7 ryJ£y � * street and number or lot number and indicate
whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED . * of septic disposal area .
COMPLETE INFORMATION REQUIRE E W
Size of property ft X ft .
* Existing building ( s) Size aj ft X 4f ft _
f I C
PROPOSED BU i LC7I NG AND USE : Y, * Existing building ( S ) Use
Size of new structure 1Fft X to_ft line
Foundation-pier/slab/crawl/partial/full * Proposed building , distance from ,property
* ft
(circle one ) * Front yard_. ft Rear yard_
No . of stories ( Ce ) f ,� Side yards $Q ft and �J �jp ft
Height ( grade to ridge ) � ft • * If on corner , setback from side street ft
If residential , no . of families OCCUPANCY INFORMATION
No , of rooms ( excluding baths ) _
*
No , of bedrooms -'~ PRIMARY BUILDING -
*
Now of bathroomsi �
J' One family dwelling
�
Pri
mary heating system Two family dwelling
Type Of fuel Multiple dwelling / Number of units
No . of fireplaces to be installed * '� Permanent occupancy
Will a wood stove be installed? Transient occupancy
Central Air conditioning? Business
*
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Other
Ranch Contemporary Log cabin * If addition , what will use be? �` 7r+AP�fxt
Raised ranch Mansion Duplex
Split level Old style BungalgSa�
� fc��CG * ACCESSORY BUILDING-
Cape Cod Cottage Oth S'r car
Colonial Row Town House * Detached garage/one car/ two car/
( CIRCLE ONE PLEASE )
* Attached garage/one car/ two car/ car
* * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * .Other
CONSTRUCTION $ 0,
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 . tQ YyGY��y
Will any second-hand or ungraded lumber be used? If so , for what ?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing )
Will there be a cellar? /Vo Heated o '�ieated? A/d Floor sq. footage s ft
Will there be a basement? _Will any portion be used as living space? �y'a q
( If so , what portion? sq . ft . - - Type of use?
Type of roof sloped flat/shed/other Material of roof o� +"�,
Sine , wood studs "X �� " spacing j "'o . c . length �ft _
Joists ( floor beams ) 1st . floor "X spacin
.joists ( floor beams) 2nd . Floor ""X to `g.—Ac— c - span1l `ft .
spacing "o . c . span -- ft .
Overlays ( ceiling beams ) ^X to
Roof rafters '— spacing— f� "o . c - span J [ ft .
"`X_. �" spacing / 6 o . c . saran ,,/G'' ft"
Roof trusses (pre-engineered) spacing -- "o . c , span ft .
Exterior wall finish �]`; )rt � 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? AK
Height above roof ft .
Depth of chimney foundation below grade ""—["`fft ,
Depth of fireplace hearth ft , in .
Water supply - Municipal or private well
SEPTIC SYSTEM , Distance from ANY private well ( including adjoining properties 14W ft ,-
(A separate application is necessary for any repair or new installation of septic system)
Town of e A F F I D A V I T STATE OF NEW YORK
n
County off 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 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 v;?� clay of oe 19Z97 __ _ ,;I'/_�..-
er + owner ' s agent , arcnxr ect , contractor �
Notary Public , Warren County , N . Y .
* * * IF * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT :
By
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 32809-
TELEPHONE ( 518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED _
NAME
LOCATION /tee% S t" r'dC
DATE
+ PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATIgNfDAMP—PROOFING
BACKFILL APPROVAL _
ROUGH PLUMEf3:gG
FRAMING
ELECTRICAL ROU —IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING t
FINAL INSPECTION.
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST ,$
STAIRS^CLEARANCE & LS
PLUMBING FIXTURES/R L F VALVE
INTERIOR TRIM/PRIV.eCY ORS —
FINISHED FLOORS
GARAGE FIREPROOF G_� _
DOOR CLOSER (S) _
SMOKE DETECTORS_
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL F CONSTRUCTION
r.
x
A SIGNED CERTI CATE OF OCCUPANCY, MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! r
REMARKS�
INSPECTOR
1770
p t n r� MIST m� Law.
40
--> ' � --
r
ky _
i
f FCO Sit
;f ilk
77
WMERSOY
LOT
R5 Woe ck)& 2�
Gad 591 Oi0`(ue r vl
` E