1988-650 BUILDING PERMIT 1-3
TOWN OF QUEENSBURY
No. 8$-650
WARREN COUNTY, NEW YORK Qg LO �
PERMISSION is hereby granted to Lars Lindequist Fj
1
OWNER of property located at 22 Cedartiaood Drive •Street,Road or Ave. M.,
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.
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1. OWNER'S Address is Same] e
W
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ID
2. CONTRACTOR or BUILDER'S Name t!i
Connelly's Custom Constuuction
3. CONTRACTOR or BUILDER'S Address
RD#3 - Box 3443
Lake George, N.Y. 12845 c�
4. ARCHITECT'S Name K
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5. ARCHITECT'S Address ;f
6. TYPE of Construction—(Please indicate by X) CV
tr1
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 12' X 25' as per plot plan, drawing and application
8. Proposed Use
DECK
$ 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.)
Dated at the Town of Queensbury this 26th Day of August 88
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
INTERIM BUILDING PERMIT.
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PERMIT APPLICANT L ihc/efro uis
CONSTRUCTION LOCATION p� 2 ceO ew
EFFECTIVE DATE !>4?e,// 0
APPROVED BY L/�Xit Lt /L7i9S'S-e /7
SPECIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted. It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CON PIC S CATION ! !
Building & Codes Department
TOWN OF QUEENSBURY
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BUILDING and ZONING DEPARTMENT �" �'
Bay and Haviland Road, R.D. 1 Box 98ury, ork 12801 •
��to 6s C���
Queensb New Y - q�l�+�l
!l19'LD.ING do CODE DEPT.
Appr ed :� . - •�c� /�
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APPLICATION FOR .
. BUILDING AND . 7.0NING 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.
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The owner of this propertyis: k- A V. S ' ,6�.'� y`,J �� f 1 '
P.O. Address �aL ect.x4CLhwOC7cl a., 7 Tel. 16
Property.Location: -11 2 Z Ced I.,3064 0 re Tax Map No. ,37/ // /40•
Street number or building lot, number
Subdivision name (if applicable) L. U I C. W ti rJ C^I,
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Co v.vvelIL, s at Nw. iiims D-s- Rom- .t - t-,C, • 6 , tL f.�(O -a t�'
Name P.O. Address el�` Tel. No.
Name of builder �qi p . ( ,o v\Ne •Address • e tti4_eL,._ �i. Tel. 442.•-I-s q 11
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED' 1ti0RK:" * . ZONING INFORMATION:
Construction of, a new building •
.* TWO PLOT PLANS. MUST BE PREPARED AND SUBMITTED,
)(Addition to a building - (:)E.K • • **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
I( X�� /nres5 a.� •,}rec -el Pc--k * 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.
- 0.71 * COMPLETE INFORMATION REQUIRED BELOW.
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* Size of" property. /.yy ft,
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* Existing building(s)- Size " :�,o ` -.-� .' s
PROPOSED BUILDING AND USE: * Existing.• building(s) Use 1 (2vA, .
Size of new structure /�, ft -X eInt *
Foundation slab/crawl/partial/full .* Proposed building", distance. from property line •
(circle one)
u • „Front yard '1 ft Rear yard /O ft
No. of stories (habitable space) V * Side yards ft and alft.
Height (grade to ridge) �/t1� ft. If .on corner, setback from side street • ft
If residential, no of families. 1 .*
No. of rooms(excluding baths) / ' * • OCCUPANCY_ INFORMATION
No. of bedrooms ..0 * •"
No. of bathrooms ':' * PRIMARY-BUILDING - . .
* --�
One famil dwellin
Primary heating system / .family, dwelling
* ' Two-family dwelling
Type of fuel " ` / * ' Multiple dwelling ./ Number of units
No. of. fireplaces,to be installed / .
Will a wood stove"-be installed? ./ * Permanent occupancy
* Transient occupancy
Central Air conditioning? Business .
.
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-
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,,._Ge ±oir T :Row'1' Town House ** Detached garage/one car/ two car/ - car
�-- I,.CIRCLE ONE. PLEASE ) * Attached garage/onecur/ two car/ car •.
* * * * * * * * '".* * * * * * * * *- * _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 -
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BUILDING PERMIT. APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, mood m l fire safe,etc.
Will any second-hand or ungraded lumber be•used? If so, for what'? AJ(> •
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Foundation wall material l'/4 Thickness
Depth of foundation below grade (to bottom of footing) /Ai
Will there be a cellar? /'Up Heated or unheated? Floor sq. footage So() sq ft
Will there. be abasement? wo Will any portion be used as living space?
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(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other JOi Material.•of roof N//
Size, wood, studs tJ,J E. " spacing "o.c. length ft.
Joists(floor beams) •1st. floor 'a- "X g " spacing // "o.c. span /0 ft. .
Joists (floor beams): 2nd. floor i"X �" spacing "o.c. span - ft.
Overlays(ceiling beams) l "X ---" spacing "o.c. span • ft.
Roof rafters ,--"X .s" spacing —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? — 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
County of Warren A F F :I D A V, I T STATE OF NEW YORx
I swear that' to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, area true and
complete statement of all proposed work to be donelon the described premises and that all • .
provisions of the BUILDING CODE, THE ZONING -ORDINANCE, and all-other laws' pertairiing 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 .! G ={
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Owner, �wner's- en architect, ntr- ctor
A6dayof : • 19y2772 A •
ARGARET //rr .
. 'efr6e<''L4 : ' ,
Nota y SIT 310 Wlgti). '. ---- .
* * * *. * * * * * * .* * x * * * * * * * * * * * * * * * it * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: •
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_/own o/ Q ee n ibury
'(.01-.) BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
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NAME L4,40,,- ll_
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LOCATION 22 O -
Date 3 / b_ Permit No. ��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
• I)RIVEWAY APPROVAL
Final Building Survey K-
,
Next scheduled inspection (call when ready)
Remarks- D‘... ..g...r.'
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/117
Bulling Inspector
6/86 and-vl
awn of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
„......e______
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BUILDING INSPECTOR' S REPORT
NAME
LOCATION 1/
Date (FA /0- Permit No. W-Z 50
* * * * * * * * * * * * * * * * * * * * * * *
✓ - APPROVED - .YES NO
oting/Pier Forms 3
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry V neer
Rough Plum 'ng
Relief Valve
Ext. Porches
Finished Floo
Interior Tri
Stairs & Rai ing
Cellar Drain Til
Concrete Flo rs
Plbg. Fixture /
Gar. Fireproof'ng
Door Closers
Smoke Detectors
Chimney
INSULATION/
Foundation
Floors .
Walls
Ceiling
FINAL EL CTRICAL INSPECTION
DRIVEWAY`APPROVAL
Final Building Survey
Next scheduled inspection (call whenready)
Remarks-
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Bu di g Inspe for
6/86 and-vl
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MAP REFERENCE 4
TWICW00D SUBDIVISION
DATED MAY 18 , 1965
FILED NOVEMBER 19 , 1965 .
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