1991-651 BUILDING ' PERMIT
VALUE $ 0 TOWN OF QUEENSBURY - 91651
TAX MAP NO. 128. -9-16 No.
WARREN COUNTY, NEW YORK
HOGAN. JAMES (FORMER HANNION P
PERMISSION is hereby granted to
NEW HAMPSHIRE AVE.
OWNER of property located at - - Street, Road or Ave.
INTERIOR ALTERATIONS/PERMIT CLOSED OUT
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
NEW HAMPSHIRE AVENUE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
NICK CAPONE
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
NO WORW'oHAS BEEN DONE. PERMIT CLOSED OUT
8. Proposed Use
NTERIOR ALTERATIONS/PERMIT CLOSED OUT
0 September .18 92
$ PERMIT FEE PAID —THIS PERMIT EXPIRES " 19
(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 25 Day of July 19 95
SIGNED BY for the Town of Queensbury
Building and Zoning I n'spector
TOWN OF QUEENSBURY 'A `'
•
REVIEWED BY: FtEC;EO�dED
4112111
1415f0j, FEE PAID: (QQ, o sEP 1 2 1 91
PERMIT NO. : 9 1 —" 65/
"�L Da & CODE DEPT.
BUILDING PERMIT APPLICATION
A. PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: _ J iq/-n E S 14()Jig /U ( rmP (
Man r? ;of)
P.O. Address: 9 o/ .S(�,�1 u 1�r v , ,�/6: -WI. PHONE SA`f `T?(S/0
Pro ert Location: -,,,k61c/ Um l
p y — _ri' _- �Q,(d _. cTa�c P�lapNo. /a / _9 ./_ .A Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK -S-REGARDS TO_BUILDING CODES IS:
hl, ck CoLro.-)E. (0/ - 0 75�
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ , ,)-p--�
Addition to building
---- 'L Alteration to building * -_ - COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building. Size:
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor /206 Sq. Ft.jOX(1O * Front Yard ft. Rear yard 5 ft.
* Side Yards ft. and ft.
2nd Floor 336, Sq. Ft.3oK,f ` * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
ARax.5---AD *
TOTAL__FL.O.OR-_AREAL_,1 g ____Sq_Et, __* --____2x_i.mary---C? l-d-i-ng------- -- _ _ _ _-- - - _-_
* v One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) ft. *
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths) : (, *
No. of bedrooms: * . •
No. of bathrooms: / * Accessory Building:
Primary heating system: * /Jo Detached Garage - One/Two Car
Type of fuel : c;L * /06 Attached Garage - One/Two Car
No. of fireplaces to be installed: /-J,0,),e .* /i o Private Storage Building
Will a woodstove be installed?: yJp * /a Other
Central Air Conditioning: Yes No i/ * /06
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc.
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:
Will there be a basement? 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) : 1st 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-_ _ _ - u:c. • span f£: --
__
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, 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. )
NAME OF BUILDER & ADDRESS: PHONE
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS.: ' PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION
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 authorized by the owner.
Signature
• 0 er gent, architect
ntractor -\
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
41 te) AZAW2-1f 4/i /// - ,t
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME (hjVYLPA1I41O90/K
LOCATION p.l,j) tla f1DQ.h
DATE 1 f t°2 iv PERMIT I G,,.S/
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE ('
THE CONTRACTOR. IS RESPONSIBLE/
FOR PROVIDING ;PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT \OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT I'N PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL.,
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB\
FRAMING:
JACK STUDS/HEADER$ '\
BRACING/BRIDGING/ \
JOIST HANGERS '\
JACK POSTS/MAI BEAM \
FIRESTOPPING
WALLS
CEILING \
FIREWALLS \
HEATING ROUG IN
INSULATION: \
FOUNDATIO WALLS INTERIOR 111,
FOUNDATIO WALLS EXTERIOR R-\
FLOORS R- \
WALLS R- \
CEILING R- \.
DUCT WORK OR PIPING IN UNHEATED
SPACES '.
REMARKS: bettyLe,t_ � .,.,
ANak Vst,Q +-etica_
ARRIVE
DEPART
INSPECTOR
06(.4.e-
TOWNfrz4
ENSBURY (�
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME •
LOCATION 6,��/ � ,42,f:a./ ✓
DATE PERMIT # 9/A5/
TYPE OF STRUCTURE G7,Xs4-
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS •
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
4 A44/4- 6e4re2,,--
ARRIVE /27v
DEPART ///271 /
IN EC R
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