1988-646 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-646
WARREN COUNTY, NEW YORK
3 V
PERMISSION is herebygranted to Chris Gauthier
OWNER of property located at 13 Oak Tree Circle Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Deck 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
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Same r•
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2. CONTRACTOR or BUILDER'S Name rt.
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Brad Magawan n
Builtwell Construction
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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W
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( ).Steel ( ) CD
7. PLANS and Specifications
No. 24' x 16' as per plot plan, specifications and application
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8. Proposed Use n
Deck to one family dwelling -
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 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.)
Dated at the Town of Queensbury t 27th Day of September 19 88
SIGNED BY for the Town of Queensbury
Building and oning Inspector
/ P
_uwn U/ (A.eeaJUu/'y b:' _ r l(��`dl'� L;I t ;;.':
BUILDING and ZONING DEPARTMENT - ° iI' ._ __ —
Bay and Haviland Road, R.D. 1 Box 98 v '"
Queensbury, New York 12801 �I( AZ, CODES DEFT.
AO ,�i9, BUR : ,-. . . BUG 2 51988
�f Approve N.. , EI °(,- ,.._ �7 BU1I.DIN CODE ®EPA.
APPLICATION FOR 4d (,tiV-41 .16 16. �,
a.b
BUILDING AND ZONING PERMIT
* * * * * . * * * * * * ...* -* .*. * * * .* .. * * * * * * *. it * * * * * * * * * :.*
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; K-//!/� ''
P.O. Address. 6-'3 a.Z7 / . To Tel.l7 3 65/5.
Property Location: .e-----/I, l) /M///a if Tax Map No. �3 / c /7'r y1
' treet number or building lot number
Subdivision name ( r applicable) . .
THE P42SON• RESPONSIBL•E'FOR S_PERVISION OF ORK AS, REGARDS BUILDING CODES IS:
Name (i) P.O. Address - Tel. No.
Name of builder ,A,./ Address / //t/./i.an Ai', Tel. 19 3 ;V,2V
Name of plumber v Address Tel. •
Name of mason Address Tel.
NATURE.OF PROPOSED WORK: '. * ' ZONING • INFORMATION:
Construction of a new building * TWO PLOT PLANS MUST. BE PREPARED AND SUBMITTED,
ddition to a building. *-drawn reasonably to scale and attached hereto,
Alteration to a building ' . * showing clearly and distinctly all buildings,
- (no -change ,to:exterior dimensionsY * 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
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and. configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /35 ft X /00 ft.
.; * Existing building(s) Size 60. ,0 ft X Q ft.
PROPOSED BUILDING AND USE: 9r � �
P * Existing building (s) Use lien/ne
Size of new structure Qef ft X/6 1ft . *
Fotzridation- ier slab/crawl/partial/full * Proposed building, distance from property line
(circle one)
No. of stories (habitable space) * Front yard ft Rear yard ft
Height (grade .to ridge) ft. * Side yards ft and ft
It residential, no. of families
.* If .on corner, setback from. side street ft •
No. 'of rooms(excluding baths) ' * OCCUPANCY INFORMATION
No. of bedrooms
* P IMARY BUILDING -
No. of bathrooms One familydwelling
Primary heating system *
. Two family dwelling
Type of fuel *
. * _ • Multiple dwelling ./ Number of units
No. of fireplaces,to be installed Permanent. occu
Willa wood stove be installed? * Transient occu
Central Air conditioning? *
. * Business occupancy
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/ two car/ car
( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/ car
* * * * * * * * * * * A * * * * * • *
Private sage wilding
ESTIMATED MARKET VALUE OF . * , Other - - ,iJ
CONSTRUCTION *
$ _ S,frD ®
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE.OF THIS SHEET, TO BE COMPLETED!
Form BPA '4/86 and-vI
'BUILDING PEImi -APPLICAT1OU CONTINUED
BUILDING SPECIFICATIONS: • Y... a
•
Type of construction`, wood ,frame, fire safe,ete.
Will any second-hand or •ungraded lumber ;be •used? If so, 'for what?
Foundation:;wall material Thickness
Depth of foundation below -grade (to bottom of footing)
Will"there`be a` cellar? Heated or unheated?. - Floor sq. footage sq ft
Will there'be abasement? Will any portion be used as living space? -
(If so, what portion? sq.ft. - Type of use?
Type of "roof - sloped/flat/shed/other Material:.of roof -
- Size, wood' studs "X spacing - "o.c. `length - ft. ,
Joists(floor beams)?`'.lst. 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 "` tt '
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 bean.opening between garage and..dwelling? If so, will a:Fire-raced
door, ,enclosure, .and self-closing device be. provided?'
,Will a flue-lined Chimney_ be ,installed? Height above roof f t.
• Depth of chimney foundation below grade - ft.
. Depth of f.irePlace ,hearth' ft. in ..
Water supply ;Municipal or private well '
SEPTIC- SYSTEM h Distance from ANY private well(including. adjoining properties ft. .
(A separate application is necessaryfor any repair or' new installation of septic system)
C +�
To of Queensbury A F F D ..A IT .: 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 donei,on the des ibed premises and that all .
provisionsof the BUILDING CODE, THE ZONING ORDIN E, and a other laws pertaining to
the proposed work sh.:.11 be complied with, 'whethe pecified r not, nd that such work is -
authorized`by the owner. e
SWORN TO BEFORE ME ''HIS, Signature---
Owner, ow r _ent,arcnitect,contractor
day. of , 19
Notary Public, Warren County, N.Y.
*" * * * * ;:' .. * * * *'; *,..* x * ,* .* * -A *' *. * * *..*. * .* * * * * * .* * *, * * * * * ,* 7[ It '* •* '..*
SPECIAL CONDITIONS fOF THE PERMIT:
. .
- By .
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVz D �//.3/9�
NAME (' J ,bd, j_L.J
LOCATION /a #zl i_ ( F
n
DATE 41/1x/9 D PERMIT # I Pet- '
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APPROVED
/,D,Ce. YES NO
I
FOOTING/PIERS
MONOLITHIC POUR FORM
FOUNDATION/DAMP-PROO ING ,
BACKFILL APPROVAL j
ROUGH PLUMBING ' '
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS '
WALLS
CEILING \. . . .
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEP'
STAIRS-CLEARANCE & RA 'S
PLUMBING FIXTURES/RELI F VALVE
INTERIOR TRIM/PRIVACY OORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL IN:PECTI"N
_FINAL APPROVAL OF 1'dg /ly
U +ION '
OK TO ISSUE C/O ,r" C/C
A SIGNED CERTIFI+ATE OF OCC PANCY MUST BE
OBTAINED FROM TH BUILDING DEPARTMENT BEFORE
THESE PREMISES "E OCCUPIED!
REMARKS:
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BUILDING.& cOD DEPT.
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