1988-774 BUILDING PERMIT
TOWN OF QUEENSBURY b
No. 88-774 0
WARREN COUNTY, NEW YORK
„ 11 .1v (e3
PERMISSIO is hereby granted to RONALD BARTH
1
Iv
1,
OWNER of property located at l.� 7* LUZERNE ROAD Street, Road or Ave.
in the Town of Queensbury,To Construct or place a FRONT DECK WITH A PORCH
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
SAME
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address H
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) N
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( )Wood Frame ( I Masonry ( ) Steel ( I
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7. PLANS and Specifications 0
No. 9'6" x 25' Front Deck with Porch, As per plot plan,specifications
and application.
8. Proposed Use
FRONT DECK
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1989 y
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t7
town of Queensbury before the expiration date.) t..1
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Dated at the Town of Queensbu 14th Day of October 1g 88 H
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ea,,SIGNED BY G ✓r r�r for the Town of Queensbury b
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Building and Zoning Inspector 7d
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. TOWN:O• r QUE'NSE
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p (( ;Dli. . , ii_� w., u u.: I. Q-ec# ibs �J
BUILDING and ZONING DEPARTMENT• - ' • • .
.•Bay and Haviland Road; R.D. 1 Box 98 C•�,'1 5.1988
Queensbury; New York 12801
' 4' BUILDING Be CODE DEPT. .
ir
h Ap,, i�d ,, b .. ,® ,
APPLICATION FOR - 4�` 4'
, _:fie/ .
.
BUILDING. AND ZONING PERMIT ' - ''% __
*. -* * * is * * -* .t * . at. •n• *. * it .at . * * * * * * * *2 * it. •. * * * * -rf at -* * *t *
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: ,VALD ' -- ,g
G /f
P.O. Address eP Y G ZER � Tel. 79Yy- G
Property Location: ,DV ,LG Zt-',y/,: , dqU '' .IS b&'7 NV Tax Map No./ / / / ti•
Street 'number or building lot number -. • SOW,'
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 ,74 Rd,e7/f Address .�P,oe/ LGZ,�1t'J/, lG (,{ ,ci,Tel. 79. -7-aiG
Name of plumber Address - ' Tel:
Name of mason Address ' ' - Tel
NATURE OF PROPOSED. V.ORK: * ZONING . INFORMATION:
_Construction of. a new building .* TWO PLOT PLANS 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 dirnensi ns)'' ' * whether existing or proposed and indicate all
Other work (describe) /s 'U,W) * set-back dimensions from property lines. Give
.0 'fi (v/7/d'" eo,Pe/f ' * street and number or lot'number and indicate
O G G'�X` whether'interior or corner lot.' Show location
I�OR DLt•,OI.I`l,'ION .PERM 'I', S'1'li�PL: SIZE AND * of water supply and loc •
ation and Configuration'
LOCATION OP STRUCTURES AFFECTED.TED. • * of septic disposal area.
* g,DMPLETE INFORMATION REQUIRED BELOW.
l
* Size of property f(/Q ft X ,206 ft.
* Existing building(s) Size ,`) ft X ✓ ft.
PROPOSED BUILDING AND USE: /- 1.) l PQ G/ '
*
. Existing building (s) Use /frp,/ali444, fk.i,(_
Size of new structure M ft X'ft .
Foundation-pier/slab/crawl/partial/full * Proposed building, distance, from property line,
(circle one)
No. or stories (habitable space). * Front yard ft Rear yard ft
Height (grade to •ridge) • .ft. ,---,, Side yards ft and ft
If residential, no., of families * If on corner, setback from side street ft
No. of rooms(excluding baths) * . OCCUPANCY INFORMATION.
No. of bedrooms * PRIMARY BUILDING - . •
. No. of. bathrooms ,
. ;� ' One family dwelling
Primary heating system Two' famil dwelling .
Type of fuel 4,1 ' Multi le dwelling ./ Number of units .
No. of fireplacesJto be installed * p<
Permanent occupancy
Will a wood stove--be installed. //ii ' ** —Transient occupancy
Central Air conditioning. Business
* .
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Log cabin' * Other ' U�G(UGA'� .2�x
If additi ,on, whattwill 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 -
" * * * * ' * * * * * * * * * * * * - * Private storage building
ESTIMATED MARKET VALUE OF . * Other '
CONSTRUCTION ' tap .I`
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE-COMPLETED!
Form BPA 4/86 and-vl
- /4///:/ ,__,(:?4-;:,7 .----. M7/4;:/(/:
`BUILDING PERMdIT APPLICATION CONTINUED - fli
feat'./ /°
BUILDING SPECIFICATIONS:,
Type of construction, -wood frame, .fire safe,ete. f/ .
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 therc:;be a cellar?Heated or unheated? /)/I Floor sq. footage 9'`y l ` 'sq ft
Will there be a basement?. �. , Will any portion be .used as: living space? Aio
(It so, what portion? sq.ft. - - Type of use?
Type of roof. -:,sloped/flat/shed/other $ p/;cf Material•'of roof •.c.t2-)c‘ 42iv o/y G%`'X(46e
Size, wood studs "X " spacing "o.c.. length ft.
Joists(tloor beams),;1st. floor "X " spacing "o c. _span ft. ••
Joists (floor beams)- ..2nd. floor "X _ " spacing "o.c.. span , ft.
Overlays(ceiling beams) 1-4- X•-----_ " spacin - /.3 "o.c. span ft. P :
Roof rafters:..,Z X l Spacing./a o.c. span;..., rt.,
Roof trusses(pre-engineer d) ,''spacing "o.c. span ' ' ft. '
Exterior wall finish % IWO Of what material? N ®I
�^ .
Interior. wall -finish
If a garage is to be attached, describe materials to be used forFIRE SEPARA'i'IOL'4:
Is there to be' an 'opening between garage and dwelling? If so will a Fire-rated
door, enclosure, and self closing device'be• provided?•'
Willa 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: wall
-
SLPTIC SYSTEM Distance from ANY private well(including adjoining properties tt..
(A separate application is necessary: for any repair or new installation of septic system)
Town of nueensbury,
County of Warren '
A F FI D. A ,1J j .T:- _.: s2ATE OF l4Ew. 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, are a true and
complete:statement of all proposed work to be done ion the described premises and .that ,ali
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.,, ..1 >. . : -
SWORN '20 BEFORE ME Ti-!IS "Signature
Owner,; owner's agent,arcnitect,contractor -
day
Notary Public, Warren County, N.Y.
* * * t.* * *. * .* *'-.A A A A * li A'•-* * * * * * * * * * * * * * * `* * * * *;,* * * * .* .* *: * *
SPECIAL CONDITIONS 'OE' THE- PERMIT:
•
`Y
I;jp 1.:11716f
INTERIM BUILDING PERMIT
PERMIT APPLICANT �� •
CONSTRUCTION LOCATION 41, 124. I•
EFFECTIVE DATE ( tb
APPROVED BY •
SPECIAL CONDITIONS :
e-R*11.444'
•
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 CI PICUOUS LOCATION ! !
•
Bui , din• & Codes Department
. SWN 4F QUEENSBURY
REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete.
2. Foundations Inspections and Waterproofing, before Backfill.
3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework.
4. Insulation - Foundation, Floors, Walls, Ceiling.
5. Inspection of Electrical Installations before covering (rough in) and on completion
of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF
OCCUPANCY.
6. All new septic systems or repairs before covering any work.
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL
OF THE BUILDING DEPARTMENT.
YOU.ARE HEREBY REQUESTED TO '
INSPECT AND ISSUE CERTIFICATES -
' ''-FOR THE FOLLOWING ELECTRICAL - '
• EQUIPMENT TO BE INSTALLED BY -7.
, THE UNDERSIGNED �";r"�/ ' . �-7 / -C •
TEMP.N D i•
• TOWNSHIP . COUNTY
CITY OR VILLAGE •
(.~J. r sl S '''J(..l?.�(// _ . , - .. POLE NUMBER
STREET AND NO.OR ROAD • - - _
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? - • SECTION, _ BLOCK . LOT
i.-AAic}I•VOW 7- .
•
OCCUPANT'S NAME - • • .. BUILDING OCCUPANCY •
•OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER • _
toy/-//5 / ,4j%i ..... . . • . a' 7f I
CURRENT SUPPLIED BY FROM THEIR - - OFFICE - WORK TELEPHONE NUMBER .
• ,BUILDING IS - '
NEW.❑ OLD❑ WORK IS NEW❑ ADDITIONAL❑ - DEFECTS REMOVED❑
' • LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED '
NUMBER OF OUTLETS No.-of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
-
Loca- - Lamp Receptacles CIRCUITS ONLY
tion ._Side Attach't H.P. Watts A.W.G.
Ceiling' Wall Recep'Is Switch Pendant Bracket No. Type Each ' No' .Each No' Gauge INSPECTION
OUT•.. - .. -
SIDE L:/ice . . .
SUB •-
BASE •
BASE- - . . •
.
MENT• .
•
1st - . . . . . .
FL. •
2nd . •
.
FL. . - .
3rd • • ..
FL. .
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: • . . . .
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE NSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
• FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO,M KE THE INSPECTION AND,ADJUST-THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. ,
SIZE OF MAINS. FEEDERS . , ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER*OF WORK .❑ EXPOSED GAS TUBE SIGNTTRANSFORMERS OF -•
❑ CONCEALED . . - .. •
.DATE WORK TO BE STARTED - _ - DATE COMPLETED SIZE OF SIGN(NUMBER) , - CAPACITY
5
SE4CE ENTERS BUILDING' 'MANUFACTURER OF.SIGN
t
,.I,t f„ - ❑-OVERHEAD ❑ UNDERGflOUND s Y
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) , , - . • MUST ENTER APPLICANTS ►
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.'ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
' NAME OF APPLICANT - .. �_ DATE'OF APPLICATION SIGNATURE OF APPLICANT- - . . ,
y / I J- ;. d >.'''i)r' /ff • riv/ _ • tf"� . .� /�'
-: .: .,.
•c_ .,.,,,.,2''z%
STREET DDRES I • . , TES HONE Nth. }
•
CITY OR POST OFFICE - . - ZIP CODE LICENSE NO.WHEN APPLICABLE
iL iY5 h'� �.//�/5�i!/%��/�/� /.?cart.
❑85.John Street ❑ 41 State Street . . '. ❑ 584 Delaware Avenue D 217 Lake Avenue • 0 202 Arterial Road „
NEW YORK,NY 10038- ALI3ANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206-
• T1-1P NPW vnRK RfARn nF FIRE UNDERWRITERS
/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801 7G7
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT/
REQUEST FOR INS CTIO�N�RECEIVED /&J
NAME 'l , 6t%61
LOCATION Z/
DATE 7g- PERMI
`/ APPROVED
��(9?2 ec�� YES NO
OTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
RO GH PLUMBING
MING N.((( ELECTRICAL ROUGH-IN _ rt
INSULATION; ✓'
FOUNDATION
FLOORS \
WALLS 3
CEILING ;-'
FINAL INSPECTION:
CHIMNEY HEIGHT ":,
ROOFING ;v
SIDING Vc f�,.
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCEy f& RAC ILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY 'DOORS
FINISHED FLOORS \\
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION \
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
A
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,,,
INSPECTOR
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I hereby certify that this man was prepared from
an accurate field survey. This certification
shall run only to the ern-sr-ins listed below.
Certifications are not transferable to additional
institution, or subsenuent owners. ,
• Certified To: 1. Ronald A. Faith
2. La Cann, Feai don, Morris,
Fitzlerald & Firth, F.C.
• • Certified Ey:
•
EA717,zi, "
1au . Rauhond, License N . 49;'R? r,
.r
. MAP I
of lands to be conveyed to I
• FZCDIh1Al—D A — 13/n►RT!-1
Town of pueensbury * Warren County * New York
Scale: 1' = 50' December 10 1987
Surf, yccMapby •
Waune R. Raymond '
Licensed Land Surveyor -
Glens Falls & I✓evert-orvn, N. k.
1
,. F—.lo,str/