1991-132 TOWN OF QUEENSBURY
�� REVIEWED B
�/1 „-� FEE PAID $ �/ 0 TOWN OF QUEENSBURY
PERMIT NO. 9 /--j3, RECEIVED
BUILDING PERMIT APPLICATION MAR 29 1991
BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
HILL 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.
• • • • • • • • * * • * * * * * * * * * * * * * * * * * * * * * * * • * * * * * *
The owner of this property is: f&')'.� ,9 .R011le,XE.
P.O. Address 39,LF0iVi9iV .57; (ix?Al F ao/27" N y /2e3) Tel. 992- 9 3JL/ O, `iq3-389X
Property Location pi76.E/cRLA lQOM -,Eft sr SI,ie ,LA9kE Tax Map No. II/ l // 3 I
Has there been any split of this property since October 1, 1988? / X
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE /� LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
e co 4eAire.
*
MATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF
Construction of a new building * CONSTRUCTION: $ 9?00
Addition to a building * )c COMPLETE INFORMATION REQUIRED BELOW:
* Size of property jpr3-a ft x
X Alteration to a building * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) * Front yard ft. Rear yard ft.
* Side yards ft. and ft.
* If on corner, setback from side street ft.
3ROSS AREA OF PROPOSED STRUCTURE * `
*
1st Floor /1/70 sq. ft. OCCUPANCY INFORMATION
*
2nd Floor 3/)._ _sq. ft. • - Primary Building -
Other Floors sq. ft. • 'C One Family Dwelling
(not cellar or basement • Two Family Dwelling
DOTAL FLOOR AREA )4/6 sq. ft. • Multiple Dwelling/Number of units_,_
size of new structure, ft x a,c, ft. • Business
• Industrial
!oundatIon-pier/slab craw /partial/full . _Other
(circle o
a
(o. of stories (habitable space) •
!eight (grade to ridge) 0 ft. • If addition, what will use be?,
f residential, no. of families •
4o.-of rooms(excluding baths) 6 ' Accessory Building
go. of bedrooms ' Detached Garage ONE/TWO Car •
Ko. of bathrooms / •
Primary heating system ii///9 • ___.Attached Garage ONE/TWO Car
Cype of fuel . N/A : ' _ Private storage building
Mo. of fireplaces to be installed ///A •
Other
Willa wood stove be installed /1/o •
Central Air conditioning Air) . •
OV• ER
BUILDING PERMIT APPLICATION,CONT[NC;ED -
BUILDING SPECIFICATIONS:
Type of construction,' wood frame, fire safe, etc. J,0 4,40)
Will any second-hand or upgraded lumber be used? If so. for what? Ares
- -
Foundation wall material4y44Qn4-4 A id Thickness
Depth of foundation below grade (to bottom of footing) 40 '/
Will there be a cellar? 4/6 Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? //a Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/othergj// Material of roof jri14/e s
Size, wood studs .. "x spacing /(, " o.c. length ;g ft.
Joists (floor beams) 1st floor "x /P " spacing /6 "o.c. span d3 ft.
Joist (floor beams)' 2nd floor 01_- "x /1 " spacing /6, "o.c. span /4 ft.
Overlays (ceiling beams) "x " spacing /(,, " o.c. span ) ft.
Roof rafters " spacing I I, o.c. span Jo ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish ) C/4_,() A04-AL of what material? r.edA.e
Interior wall finish Jea oL4//
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? A)ft If so will a Fire-rated door, enclosure,
;elf-closing device be provided?
Will a flue-lined chimney be installed? A/0 Height above roof ft.a
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.:
Water supply - Municipal or private well Jl///)47T,
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /,� 5 ft.
'A separate application is necessary for any repair or new installation of septic system)
Leo,r4/d ST-'
AME OF BUILDERL j/f,,,1,,r,;p- 'eaw,v/ , ADDRESS r7,4-A).<�J uae„7" sty TEL. NO.J93,3 d'Tc--
s,
AME OF PLUMBER cf ✓ke, ADDRESS TEL. NO.
AME OF MASON ADDRESS TEL. NO.
AME OF ELECTRICIAN 5 /n -(— ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
ins and specifications submitted, are a true and complete statement of all proposed work to be done on
e described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
l other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
eh work is authorized by the owner.
Signature
° (-downer) owner's agent, architect, contractor
'ECIAL CONDITIONS O! THE PERMIT:
BY
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as
by:
i IANPS E 8L51—moo checked by:
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3o.0' date issued:
•
N date revised:
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SITE / project no.:
IIIIIIIIIIIIIIIIIIIIIIII9007
..,
E DEVELOPMENT •
PLAN, 11
sheet no.
411
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/ SCALE: 1" = 30'-0" �+
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
tEQUEST FOR INSPECTION RECEIVED
TAME - ,(1.4-7Id
.00ATION v ,,�L ,%'
LATE /e) g/ PERMIT # 9f-/S.2
•
'YPE OF STRUCTURE ar/--
IECHECK APPROVED
N/A YES NO
'00TINGS/PIERS
10NOLITHIC POUR FORM
;EINFORCEMENT IN PLACE
'HE CONTRACTOR IS RESPONSIBLE
'OR PROVIDING PROTECTION FROM
'REEZING FOR 48 HOURS FOLLOWING
rHE PLACEMENT OF THE CONCRETE.
1ATERIALS FOR THIS PURPOSE ON SITE
'OUNDATION/WALL POUR
;EINFORCEMENT IN PLACE
'OUNDATION/DAMPROOFING
IACKFILL APPROVAL
LOUGH PLUMBING
'LUMBING VENT/VENTS IN PLACE:
'LUMBING UNDER SLAB '
'RAMING: Aluttek
JACK STUDS/HEADERS /
BRACING/BRIDGING ,
JOIST HANGERS E
JACK POSTS/MAIN BEAM I ,'
'IRESTOPPING '
WALLS
CEILING
rIREWALLS ,
SEATING ROUGH-IN '
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
tEMARKS:
°ewe '
,0 /4,,(4?& 1414164iffr
ARRIVE
)EPART
INSPECT
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT {rf
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
Able_
e/ 7) /
VANE ,/�c
_OCATION -, �Ze,4-1
)ATE 9/��'d,/ PERMIT # W- /37_
f /
TYPE OF STRUCTURE
2ECHECK APPROVED
N/A YES NO
'OOTINGS/PIERS
IONOLITHIC POUR FORM
tEINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
:OR PROVIDING PROTECTION FROM
:REEZING -FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
7ATERIALS FOR THIS PURPOSE ON SITE
'OUNDATION/WALL POUR
tEINFORCEMENT IN PLACE
'OUNDATION/DAMPROOFING
3ACKFILL APPROVAL
LOUGH PLUMBING
'LUMBING VENT/VENTS IN PLACE '
etfr4BING UNDER SLAB
•RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM _
'IRESTOPPING
WALLS
CEILING
'IREWALLS
SEATING ROUGH-IN
:NSULATION:
FOUNDATION WALLS INTERIOR)R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS I' R-
CEILING I R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
t EMAR KS: /
eJ 4ro eJ
32
ARRIVE 1
)EPART g/i4
INSPE OR
TOWN OF QUEENSBURY , ) y
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT,
REQUEST FOR INSPECTION RECEIVED 1,( 54(//3
(
NAME Sk)V)l ke_ l (`)
LOCATION cc 1,'T CJ -7.-1eAA`.Ja_ C�
DATE _4/9 ERMIT I 91
TYPE OF STRUCTURE 44-, 40 V7)0ll A�
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
NOUNDATIONdaben r/
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING /
3ACKFILL APPROVAL v
ROUGH PLUMBING
RLUMBING VENT/VENTS IN PLACE
)LUMBING UNDER SLAB
=RAMING:
JACK STUDS/HEADERS =,
BRACING/BRIDGING '
JOIST HANGERS
JACK POSTS/MAIN BEAM "{
=IRESTOPPING
WALLS
CEILING
=IREWALLS
lEATING ROUGH-IN
[NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING .'IN UNHEATED
SPACES
ZEMARKS:
DARIVE �-
)EPART
5
S PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RE EIVED
NAME c
LOCATION
DATE 1/15/9/ PERMI
TYPE OF STRUCTURE C , /e,G/� , r
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
FIRESTOPPING
WALLS
CEILING
FIREWALLS
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: L
("/
Or
ARRIVE 14' ��
DEPART IO I�
SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME '/L/}7 / iej_ej 'J
LOCATION , - ,I4 ,Le
DATE ( "PERMIT #
TYPE OF STRUCTURE 716 .441/4i
Or
RECHECK APPROVE
N/A YE 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: f
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS /
JACK POSTS/MAIN BEAM'
FIRESTOPPING
WALLS
CEILING ,f
FIREWALLS A
HEATING ROUGH-IN /
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR
FLOORS R-
WA LLS ( f-
CEILING R�
DUCT WORK OR PIPING IN UNHE4TED
SPACES
REMARKS:
ARRIVE 3
DEPART 3
INSPEC OR