1987-507 BUILDING PERMIT
TOWN OF +QUEENSBURY No_ 87-507
I s WARREN COUNTY, NEW YORK t4
CD
J . Donner
PERMISSION is hereby granted to `-
s.�
OWNER of property located at 8 Cherbke+e Lane Street, Road or Ave. rU
1
Addition to One Family (Patio ) cr
in the Town of Queensbury. To Construct or place a
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 . O WNE WS Address is
8 Cherikee Lane
Queensbury , N . Y . 12801 �
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2. CONTRACTOR or BUI LDER'S Name
Terry Potter n
3_ CONTRACTOR or BUILDER'S Address
Box 1182 Hadlock Pond Rd .
F't . Ann , Ni Y .
Co
4. ARCHITECT'S Name
tD
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ro
S. ARCHITECT'S Address
W
S. TYPE of Construction — {Please indicate by Xi
( Ij Wood Frame I ) Masonry I ) steel ( 1
7. PLANS and Specifications
No. 16 ' x 20 ' per plot plan and application . p,
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8. Proposed Use H.
Patio - One Family Dwelling
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4
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ta . 0a March 1 , Ig 80 m
$ PERMIT FEE PAID — THIS PERMIT EXPIRES .�
(If a longer period is required an application for an extension must be rrrada to the Building and Zoning inspector of the
town of O.ueensbu ry before the expiration date.) I~--•+
7th August tg 87
Dated at the Town of Queensbury this Day of
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rt
SIGNED BY ,d► ,. �[ for the Town of Queensbury o
Building and Zoning Inspector , (/
TO BE COMPLETED BY BLDG . DEPT .
Cc J� // Application No . Tin, ..,
__ 0wn o Y"eene$tury Permit Issued 19 ¢¢
BUILDING and ,ZONING DEPARTMENT Permit Expires 19 � L� �J b, -
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation I
Queensbury, New York 12801 Variance No . JUL 3 Q
k Site Plan Review No .
Approved by : BUILDING & CODE DEPT.
ff to
APPLICATION FOR 006 ry '
BUILDING AND 70NING 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 : .,.I
P . O. Address S cfl*'r w ,. 00Z ,x- _ Tel .
Tax Map No .
Property Location : 6C4 & a I .�•►- / /
Street number or building lot number
Subdivision name Cif applicable)
THE PERSON RESPIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS :
f r r ✓
name P . O. Address Tel . o -
Name of builderAddress Tel . % 37dFS`�
Name of plumber Address Tel .
Name of mason Address Tel .
NATURE OF PROPOSED WORK : ZONING I NFORMAT I ON
_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. (des ibe) �--
set-back. dimensions from property lines . Give
street and number or lot number and indicate
whether interior or corner lot . Show location
FOR DEMOLITION P& T , STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED , of septic disposal area .
�. COMPLETE INFORMATION REQUIRED BELOW . .y
Size of property ft X
Existing buildings ) Size -f X s
PROPOSED BUILDING AND USE : * Existing buildings ) Use
x' r
Size of new structureft X;�ft fromm"p'rope�y cline
Foundation-pier/�' ab crawl/partial/full Proposed buildi�nsgs disc ce y /
(�Srcle one) * Front yard S ft Rear yard ft
Noe of stories (habitable space)
? � Side yards £ t and _-^- �ft
Height (grade to ridge ) If on corner , s Maack from side street �ft
If residential , no . of families OCCUPANCY INFO ON
No . of rooms ( excluding b ths )
No . of bedrooms — P RY BUILDING -
Noe of bathrooms * ne family wel ing ; .
7
Primary heating sys Two family d ing
Type of fuel. r Multiple dwell ng / Number of units
No . of fireplaces to be instal * Permanent occ p cy
Will a wood stove be installs _ * Transient oc pa c
Central Air conditioning? Business
BUILDING STYLE, PRIMARY STRUCTURE industrial
,r Other
ch 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 Raw Town House
Detached garage/one car/ two car/ car
( }
arage/one car/ two car/` car'
CIRCLE ONE PLEASE Attached g
_Private storage building
ESTIMATED MARKET VA ME OF Other
CONSTRUCTION - - - - -
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , ToBE COMPLETED !
Form BPA 4/85 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS : /
Type of construction , wood frame , fire safe , etc . L. r✓ �
Will any second-hand or ungraded lumber be used? If so , for what ? _ 00/E/0.4
Foundation wall material /� r f
�� f r./s . i'hickness S2
Depth of foundation below grade (to bottom of footing ) "
Will there be a cellar ? *,,oe ,Heated or unheated? fZA Floor sqm footage sq ft
Will there be a basement?,,«Uif Will any portion be used as living space ? .G-a- -�
( If so, what portion?pt)�
sq . ft . - - Type of use?
Type of roof - apelat%shed/other Material of roof
Size , wood stu _ .¢ "' spacing �" o _ c . length J_ft .
Joists ( floor beams ) o f`l000r G.. - "X spacing ^o . e . span ft .
Joists ( floor beams ) 2nd . floor 4<0p'c. r"'X '" spacing "o . c . span ft .
overlays ( ceiling beams ) `" spacing""o . c . spa.n� ft .
Roof rafters " X s aci Z-A: o . c . s n�/�_ft .
Roof trusses (pre-engineered) spacing "' o . c . span ft .
Exterior wall finish Of what material? .--
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 r T
County of Warren R r[- 1 F I D Q V I 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 110tr and that such work is
authorized by the owner _
SWORN TO BEFORE ME THIS Signature'
Owner
day of 19 - - er " s agent , arcnicect, contractor
Notary Public , Warren County , N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
By
TO�vN OV QUEENSBURY
BUILDING AND CODES DEPARTMENT
Y & HAVILAND ROADS
BA Z 28t34-
AY
ENSBURY . NEW PORK
TELEPHONE ( 518 ) 792- 5$ 32
BUILDING INSPECTOR' S REPORT
rNSPEc ON RECEIVED _
REQUEST FOR
1 �
NAMEIII I
LOCATION -----pER1�I
DATE (Q YSROO
FOOTINGIPIERS
MONOLITHIC POUR FORMS
r'-PROOFING
FOUNDAT .ToNI De
BACKFILL APPROVAL
pOUGH PLUMBING
FRAMING
ELECTRICAL ROUGH- IN
INSULATION :
FOUNDATION
FLOORS
WALLS
(LING ION :
INAL INSPEC HT _-- -
CHIMNEY HE
ROOFING
SIDING PORC SI STEPS
EXTERNAL & RAILS
STAIRS-CLEAR AUR IRELIEF VAL E
PLUMBING TRIMIPRr Cy DOORS
INTERIOR � ,�--
FINISHED FLOORS
C)
GARAGE FIREPROFrNG_
DOOR CLOSER(s ) --
SMOKE DETECTORS INSPECT' ON,�---�-
FINAL ELECTRICALOF CONST UCTIC)N
FrNAT, APPROVAL
CERTIFICATE 'OF OCCUPANCY MUST` BE
A SIGNED ,FROM THE B[JILDrNG DEPARTMENT BEFORE
OBTAINED OCCUPIED !
THESE PREMISES ARE
ARKS : L�
5
�r
INSPE 'TOR
31401,
csW" 01 Queenjl"ry
I ' y 0 UILDING and ZONING DEPARTMENT
' Bay and Haviland Road, R.O. i 'Box 96
C]ueensbury. New York 12601
BUILDING INSPECTOR ' S REPORT
NAME s (/t� 6a ,'t'
LOCATION .
Date
G Permit No .
^7 ,� ��*�
«#oI APPROVED *- YES* NO
mF o
Doting/Pier Forms
dation
waterproofing
Backfill
Framing
Roof ing
Siding
Masonry Veneer
,Rough Plumbing
Relief valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Doer Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
walls
Ceiling
FILIAL ELECTRICAL INSPECTION
DRI.VEWA.Y AppROVAL
Final Building, Survey_
Next scheduled inspection (call when read}* )
Remarks-
Building Inspector
6/86 and-vl
� 3
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TERRY W "T T E R
February 2ff, 1989
TO: Town o - Quaensbury
Code+ Enforcement D-F-Fi ce
FROM Terry W. Potter
,box 1 1 F72 Ha dl ock Pond Rd.
Fort Ann , New York 12827
SUBJECT: Joesph Donner
8 Cherokee La .
Queensbury, New York 1280E
Let it be known that the patio built by myself for
Juesph Donner was indeed built to the approved speci -Fi cation
of the Town o -F Glueensbury Cods+ Enforcement C7•F•Ficas .
cc : Jaesph Donner _
y " LITTLE "I 'm" OF B U I L ar" ��