1988-086 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-86
WARREN COUNTY, NEW YORK o
3° I t ( Edna Parisi 10
PERMISSION Is hereby granted to
I Hillcrest
OWNER of property located atStreet, Road or Ave.
in the Town of Queensbury,To Construct or place a Attached one car 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.
1. OWNER'S Address is
Same
2. CONTRACTOR or BUILDER'S Name ft
B & C Construction
3. CONTRACTOR or BUILDER'S Address
Rte 4
Hudson Falls, N.Y
4. ARCHITECT'S Name 0
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H.
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X1
1 Wood Frame ( 1 Masonry ( 1 Steel ( )
7. PLANS and Specifications
No. 14' x 24' as per plot plan, specifications and application. rt
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8. Proposed Use P,
Attached One Car Garage
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1, 1988 w
(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.) crQ
Dated at the Town of Queensbury this 22nd Day of March 19 88
SIGNED BY E / C.G- 1).-.Z.et- --) for the Town of Queensbury
Building and Zoning InspectorL�.
TO BE COMPLETED BY BLDG. DEPT. TOWN Cr i ^- ""
/ Application No. 1 a " fill_J_awn o� Queen3bura Permit Issued 19 °J L5 U WIi
BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation thAR 21 J988
Queensbury, New York 12801 Variance No.,--
Site Plan Review No . BUILDING & CODE�DEP1.
AA°\ Approved'iby.: )i 6 .� ( r _J�/ /i
C �j ,,�� I�11
APPLICATION FOR '//{/ ✓( ,-
v . •
BUILDING AND ZONING PERMIT V
* * * * * * * * * * * * * * * * * .# * * * * * * * * * *• * * # * * * * * * •*, .*
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: f/u a-r'/Sj
P.O. Address JO 1 N`t rc'�/--- /// / Tel.7932j-07
Property Location /�7 .res f V/fees /1.- f/ X /
: d Tax Map No.?7 /,%1 /
Street number or bu{lding lot number/ /
Subdivision name (if applicable) . (i `' !2 / //
•
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name L P.O. Address � Tel. No.
Name of builder 5.C„ �p��7/ rhel l Address P. /� � ., GG/ �/� Tel.7/�?_ L�-23 a
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
g��� ,i' q/Z�a * street and number or lot number and indicate
*FOR DEMOLITION PERMIT, ATE 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 / 6D ft.
* Existing building(s) Size ft x _3 ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use dj7efr/; 4 e///27
Size of new structure. ! ft XoZ ft
Foundation-pier/ a/cra 1/partial/full * Proposed building, distance from property line
(circle one) *
No. of stories (habitable spa e) * Front yard G� 2j ft Rear yard -0 ft
Height (grade to ridge) / ft. * Side yards ft and ft
If residential, no. of families • * If on corner, s tback from side street ft
No. of rooms(excluding ]paths) • * OCCUPANCY INFORMATION
No. of bedrooms *
PR,TMARN BUILDING -
No. of bathrooms *
*' /One family dwelling
Primary heating system * Two family dwelling
Type of fuel
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
* Transient occupancy
Central Air conditioning? Business
. *
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other ' +
used ranch Mansion Duplex * If addition, what will use be. �j�p p Q� `P
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * • ' Detache rage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * tLached gar oca / two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF ** _Other . • ' . .
CONSTRUCTION $ [ ,ill
INFORMATION ON BUILDING SPECIFICATIONS,C/ 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. 0)0 D e a. 71,7 -e___
Will any second-hand or ungraded lumber be used? If so, for what? At/ 0
Foundation wall material Alitp (-`( Thickness //
Depth of foundation below grade (to bottom of footing) '/" O !/
Will there be a cellar? Heated or unheated? ; a Floor sq. footage 3 3 ,E, sq ft
Will there be a basement? ill any portion be used as living space? �/ p
(If so, what portio.? sq.ft. - - Type of use?
Type of roof - s. ope• 'fla /shed/other Material.-o of S /,�C ' S
Size, wood studs "X " spacing "o.c. length ft. � �� /
J f o ems 1st./ floor _ spacing '"o.c. span ft.
oasts( to r beams)) P g t
Joists (floor beams) 2nd. floor "X spa ing "o,c pan ft.
Overlays(ceiling beams) "X ., " s acing1 "o c. span,-,? ft.
Roof rafters 2 "X " spacing A o.c. spa / ft.
Roof trusses re-en ineered ,spacing "o.c. s an ft.
(p g ) P g //
Exterior wall finish 4S`7c�`/ /7_ Of what material? 4/U " -
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?�7 X/ /h-
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 AFFIDAVIT
County of Warren " 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 pertaining to
the proposed work shall be complied with, whether specified or not, and that such work is
authorized by the wner.
PSWORN TO B FORE E THIS Signatbr\ �`� � �"!`'`-t�Ls
wner, owner's agent,arcnitect,contractor
day of 19
1
Notary Publi1c, \ren County, N.Y.
* * * * * / * * * * * * 1* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
/1/
---------------
By
_loom of QU ! Ur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION 3o // , /-
Date/( / ( Permit No. !f -f1(j
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
4,Ffaming � cjj,.4
Roofing
Siding (/
Masonry Velneer
Rough Plum'.ing
Relief Val es
Ext. Porche-
Finished Flop s
Interior Trim
Stairs & Railin:s
Cellar Drain Til:
Concrete Floors
Plbg. Fixtures
>C'Gar. Fireproof ng
Door Closers
Smoke Detect'.rs
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
S ke.ei&c.k ref c,c)�// T o & T eaf
Si'e-ev4,04 gyilee-fAchi,
e'' S t'c/9 cud e i"
Buil ( spector
6/86 and-vl
sown o/ Queeniury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ( k
LOCATION eA\LA_ s;
Date/ �/___ Permit No. —
* * * * * * * * * * * * * * * * * * * * * * *
✓'= 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
Plbg. Fixtures
Gar. Fireproof,ng
Door Closers
Smoke Detecto s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
„Ds v
6-a lects.e O 0i2
Bu d 'ng Inspector
6/86 and-vl
Jown o/ Queeni‘ury
14414 BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME "P ,';
LOCATION )`lck�
Date S///9 / Permit No. ge-
„ * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YE / NO
)a Footing/Pier Forms ��„ig /
Foundation J
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi g
Door Closers
Smoke Detecto.s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL E ECTRICAL INSPECTION
DRIVEWA1 APPROVAL
Final Building Survey
I
Next scheduled inspection (call when ready)
Remarks-
Buil ing Inspect .,
6/86 and-vl
Cjie116(r1
awn of Queeni6ur y
14' I i BUILDING and ZONING DEPARTMENT
�(� ay andHavilandRoad, R.D. 1 Box 98
(/
1 . Queensbury, New York 12801
0
('1B DING INSPECTOR ' S REPORT
•
AME gdri , ,Z7....--46,g-6,
LOCATION 3 0 xi
Date �' /3/67:- Permit No. er 0 (.v
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
undation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee.
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof' g
Door Closers
Smoke Detecto, s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL EL:CTRICAL INSPECTION
DRIVEWAY •PPROVAL
Final Building Survey t
CA-4L ru A2 S R Ws 06e ludo-1131.-l`-o 'er a vl?...
Next scheduled inspection (call when ready)
Remarks- 1
B Lo ci t r s i(A/4-1- L. -
0 le.... TO C�i-c IC--- V"c L c___
;
f
Buil ing Inspect ,
6/86 and-vl
_awn of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDINNG INSPECTOR ' S REPORT
NAME L.e//G6& /e/)�Ge--C--/
LOCATION J0 AJ���E%
Date q- 1/jr Permit No. �O ��
* * * * * * * * * * * * * * * * * * * ,1/4 * * *
�� �� APPROVED - YES// NO
,g6 C. oting/Pier Forms /`] ,. ,i
Foundation �� ,f�
Waterproofing /
Backfill
Framing
Roofing
Siding
Masonry Ve eer
Rough Plum ing
Relief Valy s
Ext. Porches
Finished Floo s
Interior Trim
Stairs & Railin's
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT'•ICAL INSPECTION
DRIVEWAY APP'OVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
r/ ______`761 Ali(
Buildi I pector
6/86 and-vl
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=�j
NAME _ CiGr/f7G1. de_A-C_ _L _
LOCATION 30 .24/
DATE 107- (i2 PERMIT # or-
APPROVED
a-/- .e/. ' iC?C� YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \\ '
FRAMING
ELECTRICAL ROUGH=IN
INSULATION: ,.
FOUNDATION `'
FLOORS
WALLS /
CEILING ,;v
FINAL INSPECTION: /
CHIMNEY HEIGHT i( ;
ROOFING s/
SIDING r°
EXTERNAL PORCHES/STEPS ,
STAIRS—CLEARANCE & RAILS, i/
PLUMBING FIXTURES/RELIEF'.\VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS .
GARAGE FIREPROOFING
DOOR LOSER(S) ��, L.,'SMOK 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: rj
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TOWN OF QUEEN BURY
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