1987-697 BUILDING PERMIT �
TOWN OF QUEENSBURY �
No. $7-697 �
WARREN COUNTY, NEW YORK
•/,r
tt 1
PERMISS18N is hereby granted to David Emmons
l
to
OWNER of property located at Lockhart Mt . Rd . Street, Road or Ave. 00
Storage Shed
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. OWNER'S Address is RD # 1 Box 1431 w
Lgke George N . Y . w.
ca.
2. CONTRACTOR or BUILDER 'S Name
0
Same m
3. CONTRACTOR or BUILDER'S Address
r
a
n
4. ARCHITECT'S Name
rK
[-h
rt
S. ARCHITECTS Address
6. TYPE of Construction — (Please indicate by X)
Xl wood Frame f ) Masonry f ) Steel l )
7. PLANS and Specifications
O
No_ 18 ' x 22 ' per plot plan : specifications and application . PXJ
ro
I
S. Proposed Use
Storage Building
t7
1�
w
$ lO . DO PERMIT FEE PAID — THIS PERMIT EKPIRES May 1 , 19 88
(If a longer period is required an application for an exter%sion 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 19th Day of, ? October t9 87
SIGNED BY _ w '. - 'G `2 for the Town of oueensbury
Building and Zoning Inspector ,,. '�
TO BE PLETED By BLDG . DEPT .
/r Applic ion No I
flown o/ Q"Benjd "ry permit issued 19 �{ yl } 4
BUILDING and ZONING DEPARTMENT permit Expires l9 i -
U�
Bay and Haviland Road, R. D. 1 Sox 98 Zoning Designation 1 k'k �-
dueensbury, New York 12801 Variance No .
Site an evie No .
App ved y : ;r•,
/ APPLICATION FOR
BUILDING AND ZONING 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 .
-this-
The owner of propertyz,! Cr
P . O. Address � '� iT- �� `� � Z �__� Tel . 0 J� %c'a
Property Location : rs } � Tax Map No .
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P . O . Address Tel . No .
Name of builder 7plk L w.g-� Address 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 t' ft X /5'0 ft .
Existingbuildings ) Size"A ft X .90 ft .
x
PROPOSED BUILDING AND USE : * Existing buildings ) Use PrnjeW, Q^f-
Size of newucture
$" ft X ft
Foundation pie /slab/crawl/partial/full * Proposed building , distance from property line
( circle one ) Front yard 30 ft Rear yard Ir3� ft
No . of stories (habitable space ) t Side yards /o`� ft and / 7r+> ft
Height ( grade to /ridge ) '�
`� ,[ � ft ' * If on corner , setback from side street ft
if residential, no . of families OCCUPANCY INFORMATION
No . of rooms ( excluding baths ) l
x
No . of bedrooms ±?o�_c p�A,RX BUILDING -
No . of bathrooms � �- One family dwelling
Primary heating system /Ea � � Two family dwelling
Type of fuel rl'p = Multiple dwelling / Number of units
No . of fireplaces to be installed Permanent occupancy
Will a wood stove be installed? AO Transient occupancy
Central Air conditioning? /10 Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
_Other
Ranch Contemporary Lag cabin if addition , what will use be?
Raised ranch Mansion Duplex
Split level old style Bungalow
Other ACCESSORY BUILDING-
Cape Cod Cottage car
Colonial Row Town House '� Detached garage/one car/ two car/
( )
Attached garage/one car/ two car/ car
CIRCLE ONE PLEASE
Private storage building
ESTIMATED MARKET VALUE OF
* Other
CONSTRUCTION $ /
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 , 174 od fram , fire safe , etc .
Will any second-hand or d lumber be used? If so , for what ?
Foundation wall material __- ca :lC'4 -•__ Thickness 10�� - T-
Depth of foundation below grade (to bottom of footing ) 5'0 ^�
Will there be a cellar? A0 Heated or unheated? Floor sq . footage sq ft
Will there be a basement? Pf9 Will any portion be used as living space?
( If so , what portion? sq_ ft . - - Type of use?
Type of roof - Cope flat/shed/other I6 Material of roof�c
Size , wood studs "X " spacing /& "o . c . length +jft�
Joists ( floor beams ) lst . floor _ "X__&_" spacing,- r' "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 .7. "X " spacingz6p___ _o . c . span_ �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? / ?,a If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed? A0 Height above roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth fte 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 A F F I D A V I T STATE OF NEW YORK
eensbury
Warren
County off 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 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
authorised by the owner .
SWORN TO BEFORE ME THIS
Owner, owner ' s agent , areni-cect , contractor -
day of 19
Notary Public , Warren County , N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
By
-----_.__._------------- ----------------
TOWN OF OUFFNSBURY
QUEEINSBURY TOWN OFFICE BUILDING '
BUILDING i ZONING
REQUIREMFNTS TO OBTAIN A BUILDING PFRMIT
Two ( 2 ) Specification Sheets
TWO ( 2 ) Sets of plans with elevations
Three ( 3 ) Plot plans including water supply and Bewage system
One ( 1 ) ,Application for electrical inspection to Now York Board of
Fire Underwriters ( fee for electrical inspection to be
collected by New York Hoard of Fire Underwriters and is
not a part of the building permit fee) •
ALL CONSTRUCTION SHALL CONFORM! TO THE NEW YORK STATE
BUILDING CODE , THE NEW YORX STATE ENERGY CODE AND THE
TOWN OF QUEENSHURY ZONING ORDINANCE AND THE TOWN OF
QUEENSBURY SANITARY SEWAGE DISPOSAL ORDINANCE
ES":61A&TED VALUE OF CONSTRUCTION
Additions/Alterations , Commercial ( including apartments ,
condominiu
/�ms , etc . ) and Industrial
•� r�
�+ A t� $ �� y • �� a • . • • • r • . • • • • r r • ■ r r r . • r a ♦ • • a + • • . • • • : + • r . e . . . . �4+ /5
$ 5 0 1 ■ 0 0 t!o $ 5 , Y O O r V O . r r r . . a r . r . ■ . « r ■ . . a . . a . . r r r r a . . r . . . a . . $ 1 0 a 0 0
For each $ 1 , 000a00 or part thereof
over $ 5 , 0 0 0 ♦ 0 0 . . w a . . . ■ . . . . . a . a a a . • . a . a a . a a . . a a . a . • • . a • ♦ r ♦ a $ 2 e 0 0
Maximum Fee (Commercial including Apartments *
Condominiums , etc . and Industrial ) . . . . . . • r . r . . . a . ra . . aa . . a $ 10000 ♦ 00
One/Two Family Dwellings per 100 sqe fto or part thereof
per floor computed on exterior dimensions + + . . r . + . . . . . . . . . . . a , $ 7a00
G7r�Y rtal to residential use (attached or detached) ,r� ,f�
On$ C . . . . . . . . . . . . . . . . . . . . . . . . w . • . . r . . . : . . . ■ r . ■ . r . • • . a + $ SrVV
w0 Car ♦ ♦ . • r r . . r ■ . a . r a . . a . r . . . . . . r a w r . . r • r a r • r . . . . a . • ■ • + • • �+ 1 a /�}�
Three Cars Or more . + . r • . r + • • . . . . . + . • ar . ■ a • a • • ra . . . . . a . r . aay' 15 . 00
Swimming Pool $ . . . ♦ r . . . . • . . • r . • . . • + . . . w . . • . . . . . . . . . . . . . . . . . . + + $ 1 5 r 0 0
Dock$ . • w • r • r • • r r r a • • • r • • • • r r a r . • . ♦ ♦ ♦ • ♦ • ♦ ♦ • • • • • r • r r . r r • « • . r r r a $ 1 5 . 0 0
Building Permits for Signs ( each sign), . . . . . a . . . . r . . . . . w + . . . . . $ 15 . 00
Demolition Permit . • . • » • • , ♦ . » . . . • • ■ • a . . r • , ra • • . . . . . . . . . . . . . . . . $ 10000
Sewage Permit (New AZT$rat On) • a • r + • • • « • ♦ ♦ • . . • . . . . + rr . + a » . . $` 10 . 00
Occupancy Perms.t . . . . a . a . . . . . . . . . . . . • . . » . • . . . . r . . . . . : . . . . . . . . + $ 5 . 00
Temporary Mobile Hoare permit (up to three months outside /{
of Mobile Home Court ) . . . • ♦ r ■ rrr $ 10 . 00
Mobile Home Permit ( up to one year outside o,f Mobile Home +f
CULlr t ) . ■ • • ■ . • . ♦ . : ♦ • w . . • . • . + . . + . . . e w . w r . . . 2 5 + 0 0
Revocable Mobile Home Permit (outside Mobile Home Court) ' * . ■ . . $ 25 » 00
For all actions requiring Zoning Board of Appeals approval ,y /�
or determination ( excluding interpretations ) aa . r . r . . • .' . ar . ♦ w . $ 50 . 00
Reclassification of applications for amendment to 'Zoning
Ordinance including Planned Unit Developments applications $ 100 . 00
Rehearing on applications and agpeals + . ♦ r • . . « . ara . r . . . a ■ . + ". $ 25000
For All actions requiring Queensbury Planning Board approval
only including Site Plan Review, but excluding subdivisions . . $ 25 . 00
QUEENSBURY LAND SUBDIVISION REGULATIONS
A . minor SubdiviSionBr • • ♦ • ♦ • ♦ . • • . ♦ arr • rrr . r + rrr . • ra « • • a . a • $ 50 . 00
Ba Major Subdivisions
1 . Preliminary Approval . . . . . . . . . . . + . . . « a » . • • • . . • • . . . . . . $ 50 . 00
2 . Final Approval ( Plus $ 5 . 00 per 1ot) . • . . . . ♦ ■ . + . . • . . • . $ 50 . 00
Variance Application to Sanitary Sewage Ordinance . . . . . . . . . . . . $ 25 ♦ 00
Form 8 -82 a
Effective 8-24 -82
( a g
Ejr�rn ❑E�ARrMEtST
1BUtLDMC7 and ECfC11NG i Box 98
Bay and Haviland ptoa YRigC]i
C]ueensbur�New
Jr
SPECTOR ' S REPORT
G
y pCRT I pN �7 E9r� r ,•9 . /.
'pate 5c]
* * * APPROVED YE
Footing/pier Eoxi�+s
Fours 'slat ion
Vate4rProofin9
Backfill
'yC'E raining -
/ "`.Roof ing
Siding Veneer
Mysore p
Rough lunbing
Relief Valves
Ext . Parches
Finished Floors
Interior Trim
Stairs � Railings .
Cellar Drain Ti
Concrete Floors
plbg • Fixture ing
Gar • FiL ePro
voor Closers
smoke Detec ors
C'himne-Y
IxSUj'm.Tlo
Foun"dati n
Floors
Walls
Ceiling CAL INSPEC'TIOl3
EIt1AI. E C'TRI
I]Ft1VEWAY AYPftov lu r�Tey
Final Building
Next Scheduled inspection �
call when ready }
Remarks-
Building Inspec
6/86 and-vl
1 (j BUILDING and ZONING OE t.C)- I MENT
Box 96
'Bay and Hauifand Road, R.
Queensbury. New "fork 12601
f I LD I NG INSPECTOR ' S REPORT
LOCAT I ONc
permit No .
APPROVED* -* YES 0
Foundation
waterproofing
Back.f ill
Framing
Roofing
siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Flours
Interior 'trim
stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg .. Fixtures
Gar _ Fireproof ' g
Door Closers
Smoke Detect-0 s
Chimney
IN S13 LAT'ON a
Foundation
Floors
Walls
ceiling �- --�
FINALE CTRICAL SNSPECTlOt3�
DRIVEWA APPROV
Final Building Survey
ll when ready )
Next scheduled Ins p
ection (ca
Remarks-
Building Inspector
6/$6 and-vl
F
a .
r
fa
r
4
L14 _
ILI