1988-130 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-130 zo
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Robert Williams
OWNER of property located at Ohio Ave. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration — New Roof
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 Box 209
Ohio Ave.
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Queensbury, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name
Glenn Gregory
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3. CONTRACTOR or BUILDER'S Address
RD #4 Box 11
Luzerne Rd. o
Clcn3 Falls, N.Y. 12801 w
4. ARCHITECT'S Name O
C
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
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No. Alteration — new roof to one family dwelling
as per specification and application
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8. Proposed Use 0
New Roof m
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$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1, 19 88 0
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(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 11th Day of April 19 88
SIGNED BY ,i(c2LQ//1) for the Town of Queensbury
Building and Zoning Inspector,
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\� •TO BE COMPLETED BY BLDG. DEPT. TOWN OF Q�Jtw4_7: ''. .`" .. '
Application No. tlii n F L' -I --' H :
jdwn o f QLurti Permit Issued - 19 0 1
BUILDING and ZONING DEPARTMENT ' Permit Expires 19 APR rd `�a
Bay and Haviland Road, R.D. 1 Box 98 . Zoning Designation a7 `!
Queensbury, New York 12801 Variance No-.- BUILDING CODE.DEi�I. ..
ASite Plan i o.
Appr ve /6
1 \1° APPLICATION FOR f /"GV G /'M.
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BUILDING AND ZONING PERMIT
* * * * * it- * * * * * * * * * * * .* *: * * * * * * * * it-. * * * * * * * * * * i'r*
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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:W) Ir'j`- 6-r7— ew/ A.L/4/14 s ,
P.O. Address VAX pziq 4' / .O/ d Z . - Tel. 7n(/ 3
Property Location: Tax Map No. / /
Street number or building lot number . . .
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Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address A I✓y47-e"/ - )?2 Tel. No.
Name of builder %y// 0fr a y2y Address R0 1�Boi-1/ 2A1 C /` Tel. ?7 2 Z-Y
Name of plumber • / Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED W3RK: * 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
NLr GA/ ' Zoo f * 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 ft X ft.
* Existing building(s) Size ft X ft.
* . . . . . . . . . .
PROPOSED BUILDING AND USE: *
_. Existing building(s) Use
Size of new structure ft X ft * '
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
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(circle one)
* Front yard ' ft Rear yard ft
No. of stories (habitable space) * Side yards ft and • 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 * ppapARy BUILDING -
No. of bathrooms •
*• One family dwelling
Primary heating system , - * Two family dwelling
Type of fuel
Multiple dwelling / Number of units
No. of fireplaces to be installed '
Will a wood stove be installed? *.Will
occupancy
Central Air conditioning?
* Transient occupancy
.
* Business
BUILDING STYLE, PRIMARY STRUCTURE .' ' Industrial •
Ranch Contemporary Log cabin * Other '
If addition, what will use be?
Raised ranch Mansion Duplex . . . . .
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 $ °1j
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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 -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? /9/Jj
Foundation wall material Thickness •
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement? Will any portion be used as living space? Av o
(If so, what portion? sq.ft. - - Type of use? .
• Type of roof - o egflat/shed/other • Material.•of roof - in L---t4-L .
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. :.•:;r
Overlays(ceiling beams) "X ", spacing . "o.c. span ft. .
. Roof rafters "l_ "X (p " spacing 2 o.c. span / ' ft. .
Roof trusses(pre-engineered) spacing . "o.c. span ft. . .
Exterior wall finish 17/- // • . Of what' material?. •
Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: ,r
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.
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)
qq .._ V Town of Queensbury
County of Warren A F F rl D .A V I T 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, specified or not, and that such work is ,,
authorized by the owner. •
SWORN TO BEFORE ME THIS Signature ,/- re Z-al--
wner, owner's ag2t,arcnitect,contractor .
day of 19
'Notary Public, Warren County, N.Y.
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* * * * * * * * * * * x * * * * * * * * * * * * * * * * * * * * * * * * * * * * is * * * * * .`
SPECIAL CONDITIONS OF THE PERMIT:-
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By
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVI ND ROADS /79)/
QUEENSBURY, NEW YORK 1280k
TELEPHONE 18) 792-5832
BU LDING INSPECTO'S REPORT
REQUEST FOR SPECTION REC �y, IVED _ d/e/9:
NAME AaG6, 1 ›A '` Y. 4Q/ma
LOCATION ,�-% t,l I A, �a Q
DATE (5 -I P a' IT # p G `i3d
' APPROVED
`)7i /ji 1 YES NO
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FOOTING/PIERS 1
MONOLITHIC POU^ FORMS !
FOUNDATION/DAMP PROOF;NG
BACKFILL APPROV'L /
ROUGH PLUMBING
FRAMING i i
ELECTRICAL ROUG IN 1
INSULATION: 1 '
1
FOUNDATION
FLOORS i.
WALLS i
CEILING
FINAL INSPECTION: ; !
CHIMNEY HEIGHT 4
ROOFING
SIDING
EXTERNAL PORCHE''AS'TEPS
STAIRS-CLEARANC,� bb& RAILS
PLUMBING FIXTUR( S)RELIEF VALVE
INTERIOR TRIM/':ti'I CY DOORS
FINISHED FLOOR';'
GARAGE FIREPRe FIN
DOOR CLOSER(S) i
SMOKE DETECTO''S
FINAL ELECTRICA{ INSPECTION FINAL APPROVAL ,F CON'+RUCTION F-
- OK TO ISSUE C/S OR C/S'
A SIGNED CERTI'iICATE O" OCCUPANCY MUST BE
OBTAINED FROM :HE BUIL,' NG DEPARTMENT BEFORE
THESE PREMISES ARE OCCU"IED!
REMARKS:
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