1988-614 BUILDING PERMIT
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TOWN OF QUEENSBURY .x
No. 88-614
/2361 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Paul & Kathleen Dusek
� Mari old Drive
OWNER of property located Ott Lf g Street, Road or Ave.
in the Town of Queensbury,To Construct or place a addition - fireplace •
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
hd
Same
Q.,
2. CONTRACTOR or BUILDER'S Name
Northern Comfort
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3. CONTRACTOR or BUILDER'S Address
117 Lower Dix Ave.
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Glens Falls, N.Y. 12801
4. ARCHITECT'S Name
N
5. ARCHITECT'S Address n
CfQ
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a.
6. TYPE of Construction—(Please indicate by X) C-J
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( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. addition of fireplace to existing dwelling as per plot plan, ra.
drawings and application.
8. Proposed Use 'rt
H.
Addition of fireplace to dwelling
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES' March 1 19 89
(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.)
CD
Dated at the Town of Queensbur 22nd Day of, August 19 88
SIGNED BY. C / ' for the Town of Queensbury
Building and Zoning nspector
.
V 1 .J1 Or Q E._� r:_-},/uwn o ueen�fiuri a}. .V� Q
BUILDING and ZONING DEPARTMENT k
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Bay and Haviland Road, R.D. 1 Box 98 ' - 1 u
CJueensbury, New.York 12801in
AUG 16:1988 • L''
`
BUILDING & CODE.DEPT
Approve by- .-
APPLICATION "FOR �� �f I �
BUILDING"-.AND.-ZONING PERM I T - � . � ..
* * * * * *.:..: * * * * .* *: * * * * *" * * * * :* *: * * * *. * * * * * * .* *. * *::*
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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: `FGc t- 33.- f '— i__.t, /1) /e. D LLSe Is , '
P.O. Address fld n'ng't,oc.i7 2ro,L Glee'-,mti3* ♦ "JS.ly. 12c.o I Tel. Tio7-$-0 .
Property p Y Location `4-a • fi�i1ovD 2eo'c;; 1 Tax Map No.A�.� ... . ..
- Street number or building lot number /4/"17-,53�
Subdivision name Tlif applicable) C c‘,a•poo i1?r P&� :, ,
TIIL PERSON RESPONSIBLE POR.SUPERVISION OF WORK AS REGARDS, BUILDING CODES. IS:
4_74224 ag,tit ,G of Aid Wy, C1,4',32, () ? '-o,;,et.,j ix A'o N.s.a eis iniis Ay! -7?3- a Zy3
' Name P.O. 'Address ': ., . Tel. No. ,....,. ' -.-:::, ,_ . .:-
Name of builder Cootiii . Address See /9�o t� - . .Tel. S�� V 6 a +- ,.. "
Name of`plumber Address" Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: ZONING INFORMATION
TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
Construction of a new building
(` Addition"to""a building ' * drawn reasonably to'Scale and attached 'hereto,
Alteration" to' 'a'building :-,;- : * showing clearly and distinctly all buildings, : '
(no change to''exterior"dimensions) * whether existing or proposed and indicate.",all
Other work ..(describe)
* set=back dimensions from property lines. ;Give;
,Co it F7RC..01if .,r
" . z t * street and"number, or lot number and indicate"
FOR. DEMO I'PION PERMIT, STATESIZE•AND * Whether interior or corn•er lot: Show location f
LOCA'1'ION. Or TRUCPU121:S AFFCC * of water :supply"'and location "and configuration
* of-.septic disposal area.._
�„. * COMPLETE ,INFORMATION REQUIRED BELOW.
* Size of property /o c> ft X G2.o 0 ft.
* Existing building(s) Size mac. ft X 41 ft.'.s'i-`'
PROPOSED BUILDING AND" USE: - `.1/ 4 54 v. 35.- ef s;,9,,,
'" , 'Existing ,building"(s) .Use :: "I� "ss�Pe��;R- _ ,yc�._„
Size of new structure X * - "
Foundation +'$ 9.slab/crawl/partial/full_' * Proposed building, distance`from property line = : .
SderFic�kqf � (circle one) *
No. of stogie h irable space) ), * Frontyard 6 4.. ftt -Rear yard 134 .3 ft
, Height (grade tg4ridge) Nppr MAN.. ft.�. * Side yards •
se .ft•and Q,r;q' . ft ,
If residential, no. ,of families -��'/2 ..'.* If on corner, setback from side street ft.. ..
No. -of rooms(excluding baths) * • OCCUPANCY' '' INFORMATION - .
No. of bedrooms " , 3 ,
No. of bathrooms * PRIMARY BUILDING -
'� *' ` One family;.dwelling"
Primary 'heating system c*rt./
Type- of: fuel" ,�i_Ec-roc_a` *' Two family dwelling '
No. of fireplaces to" be" installed / " * —
Multiple dwelling /..Number:of units - .
Will a wood stove-'be installed? '" itl o +r .Permanent occupancy -
Central` Air "conditioning? iu v * Transient occupancy ,
* Business
BUILDING STYLE, 'PRIMARY STRUCTURE *' =Industrial
Ranch o Cntem rar * Other '
Po y Lo g cabin - If addition what will use be?
Raised ranch.: Mansion Duplex * ,
Split level' Old style Bungalow *
C • . = Cottage • Other : . * ACCESSORY BUILDING-
Colonial Row ` Town House -" * Detached garage/one car/ two car/ car,
( .CIRCLE'r,ONE PLEASE -).. _;-,„ . * :, C .Attached garage/one-car/ - car/ car
*" * * *' * * * -* * * * * * * * * * 'I' Private Storage building
ESTIMATED MARKET VALUE OF * —Other
Other
CONSTRUCTION .
$ • ZD *
OO;oc>' 62ra D '
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF. THIS SHEET, TO BE COMPLETED! ."
Form BPA 4/86 and-vl
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IUILDING PEkl•1I'I' AlPLICis'1'I011 CONTINUED -
BUILDING SPEC'IFLCATIONS:
',-
Type of. construction, wood frame, fire safe,etc. 6"o0D 17/#11-r ,t,„• f,L,0/-Or
Will any second-hand or ungraded lumber be used? If so, for what.
5 b
Foundation. wall material "-Pcr.6./te.0 Ce ,tstr Thickness
Depth of foundation below grade (to bottom of footing) itfl
Will there be a cellar? ityli. Heated or unheated? .0/4- Floor sq. footage „S/4- sq ft
Will there be a basement. N/q- Will any portion be used as living space? Ne
(If so; what portion? sq.ft. -- pe of use?'
Type of roof - sloped/flat/shed/other/u A. Material.'of roof ir/401/1e2 ?a de stS4
Size, wood studs
A "x " spacing /Ce "o.c. length V 'ft.
Joist::(floor beaus) 1st. 'floor ,;,/,. "X 7 " spacing /4 "o.c. spank ft.
Joists (floor beams) 2nd. floor "X --" ,spacing —"o.c. °spun' —Et.
Overlays(ceilin beams)1J//J "X " spacing "o.c. span ft. ,
Hoof rafters ��f}- "x " s}' cing o.c. span ft.
Roof trusses(p/re-enginuuredrV pacing "o.c. span ft.�
Exterior wall finish u;a�./ s;Ge Of what material? (&<- /ciT)
Interior wall finish t.WF•)0 yAc7 - iAi'lAf.4dt iN X- trbet, c�(4gw tea- ' `�
If -a garage i's: `to be attached, describe materials to e used for FIRE SEPARATION:
,ILY4
Is there to be an opening between garage and dwelling?,.)/,- If so will a Fire-rated
door, enclosure, and self-closing device .be pr vi aed 11 _?WQlc. t;tll
Will a flue-lined chimney be installed? yes-frie'lraigaitt above roof e,2 % ft'
Depth of chimney foundation below grade 4 ft.
Depth of fireplace hearth ft,,ta- in.
Water supply - Municipal or private well ONAJAJoP-- •
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties J/Nf- ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury . AFFIDAVIT ' STATE OF NEW YOIZK
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 '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 ', ' -'ed or not,: and that such work is
authorized lay the owner.)
r
SWORN TO I I*' tE. ME TIII/S Signatu
/� Owner, owner's agent,arcnttect,contractor
day of / 19 `
Notary 'Public;• Wa ren County, N.Y.
* * x vr *' t r * * * •s w . s ,r * ,r t tr t * * * .tr- a *. * * * * * * * * * . *. * * * x w * * s
SPECIAL/CONDITIONS,. '1? TUE PERMIT: .. _ •
•
•
By
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•
•
.town of Queeniur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
,"� Queensbury, New York 12801
,,j/ BUILDING INSPECTOR ' S REPORT
NAME •
�f rt.� ��� ✓ !
LOCATION— 1( /1ZlZ7// (z4(
cry
Date 5=_ Permit Nov j /�
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding ✓
Masonry Veneer _
Rough Plumbing
Relief Valves
Ext. Porches •
Finished Floors
Interior Trim
Stairs & Railings .
Cellar. Drain Tile .'
Concrete Floors ,'
Plbg. Fixtures,/
Gar. Fireproofing
Door Closers/
Smoke Detectors
Chimney ,
INSULATION:
Foundation
Floors_
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
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•
Jown of Queeniurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Ce-C-1- ZVe-e-s�4-----C__._
LOCATION ,,j ? (77y,JzL `,i_e,�,, 7
V ,.G� !
Date 7-4/• _ Permit No. d "
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* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill ��
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing /
Relief Valves •
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings .
Cellar. Drain Tile
Concrete Floors
Plbg. Fixtures
Car. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation.
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
• DRIVEWAY APPROVAL ---.
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- •
az)tilaijA-6e---
1 �
B '.Ydi� In e'ctor
6/86 and-vl
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_town of Queeniurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Pf __t.,L pUS
LOCATION L/2 ��74le--1 '10L.0 D n.,J__
Date O7O/ Permit No.f'®> .�c__ ._�
* * * * <«<* * * * * * * * * * * *,* * * * *
✓ = APPROVED / NO
Footi••/Pier Forms
Foundation
Waterproo ing
Backfill
Framing ia.{fr ,u/
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney 5' — 47-(C) u f
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APP'.VAL I
Final Build g Survey
Next scheduled inspection (call when ready)
Remarks- bus P& --x Lsri'i/6
F orliJ6S f, )2 Rru 6 A-e& I—
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Builldi Inspec or
�/86 and-vl t/
COMFORT DISTRIBUTORS pjl3 ,2,8
Nix AvF Glens Zak, N.Y. 12801
'hone (518) 793.0243
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