1986-856 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-856
f.;01-)\ 9.1
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Wm. Cantwell
H
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OWNER of property located at 2 Ashley Place Street, Road or Ave.
Corner Coolidge Ave. 0
in the Town of Queensbury,To Construct or place a Storage Shed w
at the above location in accordance to application together with plot plans and other information hereto filed and n
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
H
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1. OWNER'S Address is 2 Ashley Place
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name ^'
Lou Beckman
CD
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3. CONTRACTOR or BUILDER'S Address ,.tiy
RD #4 Box 353A
w
Queensbury, NY
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( I Masonry ( I Steel ( ) cn
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7. PLANS and Specifications
Ott
12'x14' per plot plan, specifications and application submitted. fD
No. cn
(replacing preexisting shed) co
a
8. Proposed Use
Storage Shed
10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 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 18th Day of December 19 86
SIGNED BY cC �� for the Town of Queensbury
Building and Zoning Inspector &�) •
TO BE COMPLETED BY BLDG. DEPT. 4
/ Application No. !! •
awn ofQueenaur, Permit Issued 19 t -�-, WNOFOLIEE., S9uPY
BUILDING and ZONING DEPARTMENT Permit Expires 19 4 , , _ _
Bay and Haviland Road, R.D. 1 Box 98 zoning Designation SrI- 10 a .i.)
p� i� t . 1 L L.
Queensbury, New York 12801 Variance No. °II'
Site Plan Review No. DEC , - <93
Hy 4 i i-- - Approved by:Gl 1 �, , c� F-f�c.
APPLICATION FOR 1 {•
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: kA l l r AM A,n)t-L.J-ei�,l
P.O. Address Pis r 11.344 Pi Ar_�, Tel. >92 / y9.2
Property Location: Cp, -e,t, 7
,N c R-,5�Ie., P f p,C-- 4- (i Md ,Tax Map No. / /
Street number or building lot number u
Subdivision name (if applicable) r-,0.s't S ail.C�(4) : sr.oN (, R�0,AA. Ac,<<,P.-s
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: t p q Cz
Name P.O. Address Tel. No.
Name of builder Loi_ 1147,,, .J7,4,JJ Address It Tel.
Name of plumber Address Tel.
Name of mason 4 Address n Tel. i
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
20 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) 2A-V2hcc u(, * set-back dimensions from property lines. Give
Q(2_k_i,,, +s,-,,..)6 eA b * 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 r'
of septic disposal area. L � /J
* (�11°':\ (J({'�
* COMPLETE INFORMATION REQUIRED BELOW. S,2v �n���
* Size of property ft X rft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE:
* Existing building(s) Use
Size of new strucaxe rl ft X f ft *
Foundation-pierAla)9/crawl/partial/full * Proposed building, distance from property line
(circle one) * �7
* Front yard /QQ ft Rear yard /( ft
No. of stories (habitable space) * Side yards ft ands ft
Height (grade to ridge) ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION •
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms x One family dwelling
Primary heating system
Type of fuel * Two family dwelling
No. of fireplaces to be installed * 7-7: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 * '1 Other c%r
Raised ranch Mansion Duplex If addition, what will u e 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 * / Other
CONSTRUCTION $ S�Z.1e) — *
•
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
j
BUILDING PERMIT APPLICATION CONTINUED -
1
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. - r- AM
Will any second-hand or ungraded lumber be used? If so, for what? A9
Foundation wall material ti
'a,n�_d�r,ft- Thickness
Depth of foundation below grade (to bott•• :. footing) Bur
Will there be a cellar? 6, Heated or `I .? Floor sq. footage R:)8 sq ft -
Will there be a basement? 0,..) Will anyy •ortion be used as living space? /Al
U 6
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Material, of roof afiz j t O))e r11o�cvc/
Size, wood studs 0 "X 1 " spacing if„. "o.c. length ft. J
Joists(floor beams) 1st. floor "X (., " spacing is"o.c. span /11 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters Z "X 9 " spacing ` Lf o.c. span /t) ft.
Roof trusses (pre-engineered) spacing "o.c. span ft.
Exterior wall finish C'q,g6�INNI Of what material? -ftu.ce,
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.
Aa 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 AFFIDAVIT STATE OF NEW YORK
County of 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 SignatureC: i- e.,...s.„..„.„
Owner, owner's agent,arcnitect,contractor ..
Jr5 day of 198 ,
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF. THE PERMIT:
By
A
TOWN OF QUEENSBURY
•
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
•
ANSWER ALL of the following:
1. Gross floor area 16 8 44-
2 . Type of heat /6
3. Is the building mechanically cooled? / ,3o'SCI
4. Percentage of area of windows and doors ' 01 3Z
A. Over 16% Only
1. Uo value of gross 'area of walls , roof/ceiling and floors
exposed to ambient conditions
2. Floor over heated spaces. YES NO
a." Are foundation walls insulated? YES NO
10 If YES,' .what is the R value?
3 . Slab on grade YES NO
a. If YES, what is -the R value of insulation around_
perimeter of floor?
4. Is basement heated? YES • NO
a. R value of insulation:
•
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area '
4. R value of doors
5 . R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10. Type of insulation
C. Controls
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? YES N0
a, If YES, value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . .R value of pipe insulation.
F. Service Water Heating
1. Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum heating -
Telephone No. 7 /0 o 9 a�
(app icant ' s signature)
Ca(/mod c�//&/3J d // 11,1
_Joeun of QueenJbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
h� +r :11461
BUILDING INSPECTOR ' S REPORT
NAME eariT u
LOCATION / A/ (
Date 1/6 /X/ Permit No. ( - ,?S6
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
raming �,�� ,Q (91`
Roofing
Siding
Masonry Veneer /
Rough Plumbing \v/
Relief Valves f�
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing
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-
k o lA 122eo1:•Iia rr, l)u i /
"'AVM/3
Building Inspector
6/86 and-vl
awn of Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME .acArkice_vv—
LOCAT ION ? (lair
Date /G1/457__N Permit No. gle � 376
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE / NO
VO-oting/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
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-
64/773
Building Inspector
6/86 and-vl
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v` : ` r IPF iron :pip found
A �' f' • ` IRF .iron rod found
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Melvin & Audrey Smith
42o_2lo 5/l9/1962 ,
, Map Reference sr•, i
"Fi'rst Subdivision' of. Broadacres"'
dated 9/,10/1926 filed 6/io/3o • f
/� :�:I •hpreby:,certif•y'.to'.Dr. : William H. &
1 r I of, lands_of :.
•:; Margueride D. Cantwell and .•to ••Safeco}Title•
' �,Insurance Company of: New` York that I did
MELVIN`Ap
AUDREY: SM/TH , •
TOWN of: QUEENSBURY, WARREN CO , hL Y. perform ,n;`actual ',f;ield survey of, the '•.
SCALE:::":30' ' M1' 0C :CP•:;.N , 5`}.';jremise s shown. here.o_n, ,according;`;to :;deeds ;`•
and, maps of.`.'record J., and ..-that:•thre-.: are no•, ` •
'=encroachments,. except :as -shown.:
51.r71/EY a MAP ggY
WAYNE R. RAYMGND a yl �I /� �,.y
LKENSED LAND'SURVEYOR ' x Way,z .•R. Raymond, License. No. ,4.8.988. • •
GLENS FALLS 8. 'SUR YOR-NY ,