1987-617 BUILDING PERMIT �
TOWN OF QUEENSBURY tin
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No. 87-617 C)
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to James Dubin cc
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OWNER of property located at Sunset Lane P Tay - Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Addition on — Screened In pomyh
at the above location in accordance to application together with plot {Mans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
Box 1336 RR 1
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Lake George , N . Y . 12845
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2. CONTRACTOR or BUI LDER'S Name
Bob Lemery
3. CONTRACTOR or BUILDER'S Address
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56 Boulevard
Glens Falls , N . Y .
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4. ARCHITECT'S Name
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S. ARCHITECT'S Address O
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6. TYPE of Construction — (Please indicate by X)
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>X4 Wood Frame ( } Masonry ( } Steel
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7. PLANS and Specifications
No. 15 ' x 16 ' per plot plan , and application .
S. Proposed Use Screened in porch to one family dwelling
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16 . 00 April 1 . f988 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 Oueensbury before the expiration date.) ro
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Dated at the Town of Queensbury this 15th Day of Sept ' 19 87 H
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SIGNED BY
_,�'=�"�-�'� for the Town of Queensbury �
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEPT .
Application No .
7011/n p/ Qeseenilury Permit Issued 19
B LD0b and ZONING DEPARTMENT Permit Expires 19 �'4F
Bay and Haviland Road, R. D. 1 Box 98 zoning Designation ; ,u
C3ueensbury, New York 12801 variance No . � ,i' ,'
Site Plan Review No .
IApproved by : .7EP 10 ! 7
/ APPLICATION FOR BUII_f3;NG 1'34 C. Do PY
BUILDING AND 70NING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE F'OL.LOWING .
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 : ,,.}s mdy S nrd6`.!
P . O . Address 3X. / 5_3y ,:2 12KOI.. /r; /-2E<teS Tel . 4eSr ~ 'J�C17
Property Location :. 1U0Zne5r�f Pr»e `mod rC1R a uc ! sd { cJ� Tax Map Ilo .
street number or building lot number �f '/
subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS RE63ARDS BUILDING CODES IS :
.s-%G Ado u l�#► v.�c�r.J [ ftj IC //X 7 q''8 —dC�
Name P . O . Address Tel . No .
Name of builder Addressk . 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 * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED . * of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW .
Size of property 9) ft X /Oc) ft .
Existing building ( s ) Size 5-zft X - ft .
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PROPOSED BUILDING AND USE : * Existing building ( s ) Use
Size of new cture �ft Xy/�ft
Foundation ier slaty/crawl/gartial/full � Proposed building , distance from property line
(circle one ) ft
* Front yard ft Rear yard��.
No . of stories (habitable space ) Side yards ��t /r' ft and ft
Height ( grade to ridge) lC,[ + ft . * If on corner , setback from side street ft
If residential , no . of families OCCUPANCY INFORMATION
No . of rooms ( excluding baths )
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No . of bedrooms
* PRIMARY BUILDING - 000
No , of bathrooms One family dwelling lVd n { fir
Primary heating system _Two family dwelling � � 7`� X"-0&/
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
i/'Other A..,frC& .ram► C
Ranch Contemporary Log cabin * If additiong what will use be? ._ �� jwJ
Raised ranch Mansion Duplex
Split level Old style Bungalow
Cape Loci otta Other * ACCESSORY BUILDING-
Town House Detached garage/one car/ two car/ car
Colonial Row car
( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/
Private storage building
ESTIMATED MARKET VALUE OF � 'Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSS SIDE OF THIS SHEET , TO BE COMPLETED !
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED - 4
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc .
Will any second-hand or ungraded lumber be used? If so , for what ?
Foundation wall material C CA #gr, f*cAe r Thickness 1►r.K l,G, d1
Depth of foundation below grade ( o bottom of footing ) �j++
Will there be a cellar? A10 Heated or unheated? Floor sq. footage 57 sq ft
Will there be a basement? A%at_Wili any portion he used as living space?
( If so , what portion? sq. ft . - - Type of use?
Type of roof - slopedf laL/shed/other Material of roof
Size , wood studs - JJ "'XT IF spacing "'a . c . length - �-ft .
Jroists ( floor beams ) 1st . floor - "'X �/p " spacing��"o . c . span_,/' ''' ft .
Joists ( floor beams) 2nd . floor AA "X spacing "o . c . span ft .
Overlays ( ceiling beams ) -_ _"X AV/ IN spacing l" 'o . c . span_,L_(ft .
Roof rafters ej " X_ ,_4. "' spacing/ moo , c.. span �ft .
Roof trusses (pre- engineered) spacing "o . c . span ' ft .
Exterior wall finish Of what material? jjj 5S1r�
Interior wall finish =*3a AO;Aor •ems _
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 SYSTL'M _ 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
County of Warren A F F I 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, whether specified or not , and that such work is
authorized by the owner .
SWORN TO BEFORE ME THIS Signature _ 40
O -owner " s agent ar nxr ect , contractor
day of 19 �
Notary Public , Warren County, N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
By
TOWN OF QUEFNSBUR`Y
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURYO NEW YORK I2S01-
TELEPHONE (518 ) 792-5832
BUILDING INSPECTOR " S REPORT
REQUEST FOR INSPECTION RECEIVED ..._-._ . (�
NAME __
LOCATION p r�
DATE PERMIT #
�syuacs APPROVED
i YES NO
FOOTING/PXERS
MONOLITHIC POUR FO S
FOUNDATION/DAMP-PROOFING -
BACKFILL APPROVAL
ROUGH PLUMBING j
FRAMING
ELECTRICAL ROUGH-IN f
INSULATION:
FOUNDATION x
FLOORS
WALLS
CEILING
FINAL INSPECTION: ;
CHIMNEY HEIGHT _,
ROOFING
SIDING
EXTERNAL PORCHES/S2'EPS 'il
STAIRS-CLEARANCE & RAI Sk
PLUMBING FIXTURES/RELIEF {VALVE
INTERIOR TRIM/PRIVACY;DOOtRS
FINISHED FLOORS
GARAGE FIREPROOFING S
DOOR CLOSERS)
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SMOKE DETECTORS_
FINAL ELECTRICAL INSPECTION k ti
FINAL APPROVAL OF CON.4TRUCTIOM4 _
OK TO ISSUE C/O OR C/P
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A SIGNED CERTIFICATE OF OCCUPANiPY MUST BE
OBTAINED FROM THE BUtLDXNG DEPARTMENT BEFORE
THESE PREMISES ARE OiPCUPIED !
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REMARKS :
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ARRIVE �17r / 5?
DEPART
INSPECTOR
LI'ouin o� �i.Reens�,ecrt�f
BUILDING and ,ZONING DEPARTMENT
Bay and Haviland Road, R_0. 1 BOX 98
()Ueensbury. New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION Uy�� 94 4
'r permit No .
Date- j/
APPR( VED - YES O
Doting/pier Forms
undation
waterproofing
Backf it l
Framing
Roofing
Siding
Masonry Veneer
Rough plumbing
Relief Valves
Ext , porches
Finished Floors
Interior Trim
Stairs 6 Railings
Cellar Drain Tile
concrete Floors
plbg . Fixtures
Gar . Fi.reproo€i
Door closers
Smoke Detecto
chimney
INSULATIONS
Foundation
Floors
' Walls
ceiling
FINAL ELECTRICAL I13SPECTION
DRIVEWAY APPROVA>
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/B6 and-v1
March 9 , 1989
Mr , David Hatin , Director
Bldg , & Code Enforcement
Town of (. ueensbury
Bay at Haviland Road
Q ueensbury , NY 12804 - 9725
FZe ; Dubin - Bldg . Permit
Dear Mr . Hatin : #
I was surprised to receiveyour notice relative to the
above permit number since I assumed that the necessary
approvals had long since been obtained . As indicated in
the permit application , the job covered the construction
of an open porch with no plumbing or septic system in -
volvement . The work was completed in October 1987 .
My contractor was Lawrence Robert Lemery whose present
address is RD # l , County Line Road , Glens Falls , NY
The subject premises on Assembly Point are at present
-unoccupied and remain so until my wife and I return from
Florida around Memorial Day . The house is essentially a
summer camp , In the interim I will try to contact
Mr . Lemery to determine why the work has not long since
been signed off . If I cannot reach Mr . Lemery , I will
take care of the matter promptly after my return to
Lake George .
Very truly yours ,
~yam
es Dubin
28 Cedar Road
Hollywood , FL 33021
TOWN OF QUEENSB URY
Bay at Haviland Road, Queensbury, NY 1 2804-9 725-5 1 8-792-5832
BUILDING AND CODE ENFORCEMENT
11 DATE
BUILDING PERMIT # '/' - Z� l / EXPIRATION DATE
PERMIT ISSUED TO:
LOCATION : i�z2`L
The records of the Building Department show that your Building Permit has not
had all of the required inspections. Our inspections are done only when requested by the
Permit holder. Following is a list of required inspections and indication as to those that
have been done. We require that you contact this office and make necessary arrangements
to fina.11ize this permit.
REQUIRED INSPECTIONS: DATE OF INSPECTION
1 . Foundation footings before pouring concrete
2. Foundation inspection before backfill
3 . Rough plumbing
Framing
Insulation before any closing in of the frame work
4. Final Electrical Inspection required by approved agency
5. Septic system, before covering
6 . Final Inspection before Certificate of
Occupancy/Compliance is issued
NO OCCUPANCY OF BUILDING WITHOUT APPROVAL OF THE BUILDING
DEPARTMENT.
THE BUILDING DEPARTMENT SHALL ASSUME NO RESPONSIBILITY FOR ANY PORTION
OF CONSTRUCTION THAT HAS NOT BEEN INSPECTED.
REMARKS:
L
David Hatin, Director
Bldg. & Code Enforcement
"HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE"
SETTLED 1763
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