1988-034 BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-34
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Richard Edmunds ?`
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OWNER of property located at 9 Orchard Dr. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration — Roof over existing porch
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
Richard Edmunds
9 Orchard Dr.
Glens Falls, N.Y. 12801
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2. CONTRACTOR or BUILDER'S Name t=i
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name 0
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5. ARCHITECT'S Address t7
6. TYPE of Construction—(Please indicate by X)
( I Wood Frame ( ) Masonry ( )Steel ( ) -- -
7. PLANS and Specifications
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No. 6' x 4' roof over existing porch as per photo and application
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8. Proposed Use 0
Roof over existing porch Co
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$ 10.00 88
PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1, 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the m
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town of Queensbury before the expiration date.)
12th February 88 e
Dated at the Town of Queensbury this Day of 19
SIGNED BY V/7-7G�I� a - ,062_0.- e 'U for the Town of Queensbury
Building and Zoning Inspector
n TO BE COMPLETED BY BLDG. DEPT.
awn of Queen.itur y Application No. TOWN OF OUEE i
Permit Issued 19 rJ
BUILDING and ZONING DEPARTMENT Permit Expires 19 N@NUTI [i .
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designate n 'F2 "3e I .
Queensbury, New York 12801 Variance No. /i7/4 FEB
Site Plan Review No. /U'l 1 ���9��
�, j')I Approved by: BUILDING & CODE DEP
APPLICATION FOR 1 1/69'
BUILDING AND ZONING PERMIT 1.
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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: 1 G CC( �(2 L 7) riii C1 N ?S'.
P.O. Address Cl �2�-#1 T I), p G•( �S. _ .f//2 L L 5 Tel.
Property Location: Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable)
THE SUN RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
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Name P.O. Address c G Tel. No.
Name of builder ;y1—.. l,`,crl Yle Address 1'\"-) C. AA.?5L U'9C - el> Tel.79 fig /&
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) P01 2.44 * .set-back dimensions from property lines. Give
0(I. f yr.rlN G 00_G * 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.
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* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ft X ft.
* Existing building(s) Size ft X ft.
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PROPOSED_BUILDING AND USE:goo n 0 C * Existingbuilding(s) Use
Size ornew structure t/o ft ft '*
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
///� (circle one) *
* Front yard ' ' ft Rear yard ft
No. of stories (habitable space) Ali - Side yards ft and ft
Height (grade to ridge) d(I/� ft. * If on corner, setback from side street ft
If residential, no. of families /O I
No. of rooms(excluding baths) (tJa * OCCUPANCY INFORMATION
No. of bedrooms i,) ¢. *
* PRIMARY BUILDING -
No. of bathrooms * One family dwelling
Primary heating system Iv) /�. *:---Two family dwelling
Type of fuel N P
No. of fireplaces to be--installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? I * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
* • Other
Ranch Contemporary Log cabin •If addition, what will use be?
Raised ranch Mansion Duplex *
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING- •
olonial_-D 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 $ / ��O t0
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INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl .
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BUILDING PERMIT APPLICATION CONTINUED -
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BUILDING SPECIFICATIONS: •
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Type of construction wood frame, ire safe,etc.
Will any second-hand ed lumber be"used? If so, for what? &J
Foundation wall material 10 4Thickness dU
Depth of foundation below rade (to bottom of footing) /0
Will there be a cellar? ( Heated or unheated? AM-- Floor sq. footage sq ft
Will there be a basement? (\J,Q 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.lof roof , � h�/9-L.j SfjYr
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 a "X 6 " spacing j/, o.c. span l ft.
Roof trusses(pre-engineered) ppacing "o.c. span ft.
Exterior wall finish Of what material?
' Interior wall finish 61) (3
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 beprovided?
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 privatewell(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
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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 ORDINANNCC 11 other laws pertaining to
the proposed work shall be complied with, vh —r specified r not, and that such work is
authorized •by the owner.
SWORN TO BEFORE ME THIS Signature_____ _- _ _ ..
/ Owner, owner's a ent,arcnitect,co ractor
t day of 6 19 ,e8 • . •
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Notary Public, Warren County, N.Y..
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SPECIAL CONDITIONS OF THE PERMIT: .
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• By. '
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION
RECEIVED 67S -
NAME —__G� ��� LG2��=1��.
LOCATION ! V7,c,/LPG'
DATE 9�/ PERMIT # (f f ,3q
{ APPROVED
ZorG J YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION \,
FLOORS
WALLS
EILING
INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING a�1
SIDING ;t t/j{
EXTERNAL PORCHES/STEPS L/
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
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