90-685 BUILDING PERMIT
TOWN OF QUEENSBURY
No. qO-6RS
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to JOHN & BARBARA KEN ISON
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OWNER of property located at Glen Lake Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a alteration to storageg building Cr)
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
RR1 Box 1784 Glen Lake Rd
Lake George NY 12845
2. CONTRACTOR or BUILDER'S Name
N
self
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name Q'
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(D
( )1 Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications CD
No. 2000 sq ft Alteration to storage building as per plot plan, speci- 0.
fications and application.
8. Proposed Use
Unheated storage building
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$ 20.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 11 19 91
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the c+
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town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 11th Day of October 19 90 -s
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SIGNED BY Gam`[/: (.,(, i for the Town of Queensbury cr
Bui ing and Zoning Inspector --a
TOWN OF QUEENSBURY
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REVIEWED BY ,/,G
.' ' FEE PAID = 010
PERMIT NO. effc OCR _ 1990
BUILDING PERMIT APPLICATION e CODE DEPT.•
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
TILL 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: Ju I W 4 4=f_ <ft
?.O. Address kt.:' 17 ' -4 kc (ifs) Tel. f /
'roperty Location Gte4i kal Tax Map No. 3 /..3/ -3'
las there been any split of this property since October 1, 1988? / r` - '/'/ c
f yes Planning Board Review is necessary. yes no
IUBDIVISION NAME, IF APPLICABLE LOT NO.
'HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
z
•
►ATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF •
Construction of a new building • CONSTRUCTION: S
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property ft x ft.
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.
•
ROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street ft.
1st Floor '' sq. ft. •
OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • - Primary Building -
Other Floors sq. ft. • One Family Dwelling
(not cellar or basement) • Two Family Dwelling
OTAL FLOOR AREA Z •' • Multiple Dwelling/Number of units
_sq. ft.
Ise of new structure 2_ ft x=ft. • Business
oundation-pier/slab/crawl/ • Industrial
partial/full
(circle one) • Other
•
o. of stories (habitable spec.)_._ •
eight (grade to ridge) ft. • If addition, what will use be?
'residential, no. of families_ •
of rooms(excluding baths) •• , Accessory Building
ro. of bedrooms •
ro. of bathrooms • ___Detached Garage ONE/TWO Car
primary heating system • Attached Garage ONE/TWO Car
°ffuel • I Private storage building
ro. of fireplaces to be installed_ •
rill a wood stove be installed • _Other
:antral AIr conditioning •
OV• ER
BUILDING PERMIT .APPLICATION CONTINUED -
BUILDING 3PECtFICATIONS:
Type of construction, wood frame, fire safe. etc. V
Will any second-hand or upgraded lumber be used? If so. for what? "I c ?
ft
Foundation wall material calic Y I r Thickness /
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? WC) Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? (v o Will any portion be used as living space? t i
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other, Material of roof vird e'L, /',r� =` ' fis'r :T � A r:
Size, wood studs 7-- "x " spacing " o.c. length ft.
Joists (floor beams) 1st floor 2- "x ' " spacing /b "o.c. span ly ft.
Joist (floor beams) 2nd floor 2 "x IC " spacing ,1 "o.c. span 'b ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing 2 7 " o.c. span 2_41 ft.
Exterior wall finishf of what material?
Interior well finish N/A
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 J°N%t k'e,i iie)/,j ADDRESS 901 / '/ f ' f TEL. NO. 7't3
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
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
ill other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner. / 444ot )r\ /
/Signature ri
`�
• net., owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
U/11146A-1-f-.-0 So reA AJC
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Cf . O L WC1L. BY
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 Qd/n / �`7 Q Ai-et-La. �5�/YL/)dA>2r
LOCATION.,
DATE /1/J//)/J/ PERMIT # 90 --loce5-
TYPE OF STRUCTURE 4/ 7 ) 0,640y/ /3C l'dli
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 r`
JOIST HANGERS f
JACK POSTS/MAIN EAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH IN\
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATIO WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: idt/ ,�L - &i 9/1�9j*
le,-e-e6 At:14.°4' P114_
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ARRIVE
DEPART
I NS PE R
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TOWN OF QUEENSBURY
S31 BAY ROAD
QUEENSBURY, NEW YORK 12804
..� TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME \i )L. C?"P
LOCATION 4N /JE
r
DATE J // PERMIT# 20-66
TYPE OF STRUCTURE 444
Ar e
17
RECHECK /Il /
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL _FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A! YES ' NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION"
PLUMBING VENT ___.N
ROOFING f_
SIDING Y,,
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION a
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN!/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE
DEPART
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BUILDING & CODES D EPT,
THE PLANS SUBMITTED HAVE BEEN REVIEWED AND
HAVE BEEN FOUND TO LACK SUFFICIENT DETAIL
FOR PROPER PLAN REVIEW.
WE REALIZE THAT ENGINEERED DRAWINGS ARE
NOT EASILY OBTAINED AND SOMETIMES NOT RE-
QUIRED. WE HAVE ISSUED THIS PERMIT WITH THE
FOLLOWING STIPULATIONS :
1 . THE WORK WILL BE INSPECTED AND MUST CONFORM
TO ALL PROVISIONS OF PREVAILING CODES .
2 . IF DEFICIENCIES ARE FOUND THEY MUST BE COR-
RECTED BEFORE WORK CONTINUES .
3 . FAILURE TO COMPLY WILL RESULT IN REVOCATION
OF THE BUILDING PERMIT
Code Enforcement Officer
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Da t e
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Building Permit #
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