1988-127 BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-127
4 ARREN COUNTY, NEW PORK
--()` �� �o Raymond & Sandra Wood
PERMISSION is hereby granted to
36 Luzerne Rd. N
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Detached two 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
vn
Same
3. CONTRACTOR or BUILDER'S Address
0
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
0
CD
ri
0
CD
6. TYPE of Construction— (Please indicate by X)
(x)Wood Frame ( ) Masonry ( ) Steel ( ) •
7. PLANS and Specifications
No. 28' x 32' as per plot plan, specifications and application
8. Proposed Use
Detached two car garage.
C)
CD
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES WM Nov. 1, 19 88
(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.)
Q9
11th April 88
Dated at the Town of Queensbury this Day of 19
04
SIGNED BY "�� �(. for the Town of Queensbury
Building and Zoning Inspector Ale
TO BE COMPLETED BY BLDG. DEPT.
TOWN Or GuEENS-:vi-
/ Application No. r •
own D� �ii�ertdbitrt ;•--.Permit Issued 19 •D I L r CU] 1�
I.
BUILDING and ZONING DEPARTMENT Permit Expires 19 U
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Bay and Haviland Road, R.D. 1 Box 98 'Zoning Designation APR 6 t98O •
Queensbury, New York 12801 f , Variance No..
Site Pia j •- iew • . BUILDING & CODE DEPT.,•:
i -AFT'
ov-: /.. . / . � "
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APPLICATION FOR ,/
BUILDING AND ZONING PERMIT ..
* * * * it• * * * * * * * * * * * * * * * * * * * * * * iF 3t• *• * * * * * * * * ::.*
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: I i,,,,,�� .G . 8' S'c,,,,,Z-,` /�, t..Joo'd
P.O. Address ? . ,�v..e /-
v- •e" 7Rot Tel. 77-'3„/r' --?
Property Location: /0 i( r1 Tax Map No. f 30 / g h...�
Street number. or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING• CODES IS : .
P , ,,,,4 Wc,00f 3c U2-c:-N- At 79 - Swat k7 .
Name P.O. Address Tel. No.
Name of builder /f Address ' /i Tel. / /
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
* street and number or lot number and indicate
* whether interior. or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW. • .
* Size of property ' A/ 6, ft X /yC) ft.
•
* Existing building(s) Size 11 C ft X s- ft.
*. . . . . . . . . .
PROPOSED BUILDING AND USE: * Exist in building(s) Use
-. g g 'P.# si ,f.,yr
Size of new structure ??,'ft X`32ft *
Foundation-pier/slab/crawl//artiffull * Proposed building, distance from property line
(circle one) * Front yard c . ft Rear yard ft .
No. of stories (habitable space) f ft. * Side yards /,;%-fi ft and 0 h c,/ ft
Height (grade to ridge) /,S * 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 • *. _ One family dwelling
Primary 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?
Raised ranch Mansion Duplex
Split level Old style Bungalow .. . . *
Cape Cod Cottage Other * ACCESSORY BUILDING • :''''.:
-
Colonial Row Town House * • '}(Detached garage/one car/_Ewo car)" car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * . ' Private storage building
ESTIMATED MARKET VALUE OF • * Other •
CONSTRUCTION $--3
C0
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. 1,4;00_4 Pi-ck •
�7
Will any second-hand or ungraded lumber be used? If so, for what? .,
Foundation wall material Thickness g /I
Depth of foundation below grade (to bottom of footing) /C /"
Will there be a cellar? ' Heated or ' ) Floor sq. footage 6'9 6 sq ft ._ .
Will there be a basement? Will, any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use? •
• Type of roof - glopeg.7flat/shed/other Material.•o f roof ; h�� � 5 A; 7/o r .
Size, wood studs %? "X y " spacing 7 "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 "X " spacing o.c. span ft. .
Roof trusses (pre-engineered) spacing )C/ "o.c. span '2 ft. .
Exterior wall finish 7 /—jj Of what' material? /%(,, •
wc.crv!
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.
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 doneLon the described premises and that- all
provisions of the BUILDING CODE, THE g,ONING 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. P . •
SWORN TO BEFORE ME THIS Signature`
Ownepf owner's agent,arcn}tect,contractor . . •
day of 19
•
Notary Public, Warren County, N:Y. - •
.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ..`
SPECIAL CONDITIONS OF THE PERMIT: • '
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•
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By
K)ors-CNG S `�
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
f kx Ent, GL)
LOCATION `3,6 . ,/
DATE Q. Zi ��`'� PERMIT # 7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBINq
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION: • /
FOUNDATION
FLOORS •
WALLS
CEILING I
FINAL INSPECTION: N. /
CHIMNEY HEIGHT
ROOFING 1
SIDING r
EXTERNAL PORCHES/STEPS
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 ' S
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE -
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
• ��
•
It If
INSPECTOR •
\XC\/-
\) Jown of Queen.iur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATI ON 3 fe.k.
Date LP / 1-0 Permit No. � -I
* * * * * * * * * * * * * * * * * * * * * *
P' = APPROVED - S / NO
Footing/Pier Fo
Foundation
Waterproofing
Backfill f
.kFraming 46,
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile.
Concrete Floors
Plbg. Fixtures
Gar. Fireproo'ing
Door Closers
Smoke Detecrors
Chimney
INSULATIO :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
..
Building Insp'eckor
6/86 and-vl
(ItilP41
ln
�, I _awn o/ Queenitury
!P� BUILDING and ZONING DEPARTMENT
IV Bay and Haviland Road, R.D. 1 Box 98
/ Queensbury, New York 12801
i
U LDING INSPECTOR ' S REPORT
pi
E
L O C A T I ON c..?&
Date /g/ir Permit No. rU `/,7
* * * * * * * * * * * * * * * * * * * * * * *
✓ APPROVED - YES / NO
noting/Pier Forms � '
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ven-er
Rough Plumb ng
Relief Valv-
Ext. Porches
Finished Floo s
Interior Trim
Stairs & Railin. .
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofin"
Door Closers
Smoke Detcctoes
Chimney •
INSULATION:
Foundatio
Floors
Walls
Ceilin•
FINAL LECTRICAL INSPECTIO
URIVEW Y APPROVAL
Final I ilding Survey
Next scheduled inspection (call when ready)
Remarks-
. T�
Building Inspector
6/86 and-vl
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