89-105 BUILDING PERMIT
TOWN OF QUEENSBURY ro
No. R9-105 z
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Douglas & Virginia Wr_igli y
OWNER of property located at Dunhams Bay Street,Road or Ave.
in the Town of Queensbury,To Construct or place a De'-'k
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
29 Marcy Lane
Queensbury, N.Y. 12804 r
2. CONTRACTOR or BUILDER'S Name
Self
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3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
0
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) C7
( )Wood Frame ( 1 Masonry ( )Steel ( )
Un
7. PLANS and Specifications
Ib
No. 6 ' x 7 ' deck as per plot plan, specifications, and
application.
8. Proposed Use
Deck
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$ 15 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1 19 89 x
(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 9 9 ad Day of March 19 89
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
]'OWN OF QUEENSBURY
APPLICATION FOR BUILDING AND ZONING PERMIT
Pate- TOWN OF QUEENSBURY
Rec.i.eved / RECEIVED
s -` Reviewed
MAR
�� 21 1989
Fee Paid $ /5°?—'
BUILDING AND CODES DJ:PARTMENT'
Pate Iaaued 'BLDG. & CODE DEPT.
r and JIAVILAND ROADS RD 1 Box 98 'l✓r 4 gee
f)UEENSBURY,NEW YORK 12804 Peiui t No. 3 j 05"
Tel . (518) 792-5832 Ext •204 '
.. .* * * * * -* * * 1* * * * * * * * * * * * * * * * * ^ * * * * * * a a * * *
A PERMIT MUST B) OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
. WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT.
All applicable spaces on this application must be completed and the
sirtaature of the applicant must appear on the reverse side of this sheet .
* * * * * * * * is * t * * * * * is * * * * * is is 'fie/* * * * * * * yer�* * * *
he owner of this property is : `O//6 Lr4S :• 1p 6/r✓ ' 4` 16c`�'.
.O. Address ,( , G ` /_ (V i ��2 /V �°2 i • , / <3/(2
�7 /yam / ,� C > S r y
/-� C/z n,�` /u1 TA'SC MAP NO <�/L/ 7
roperty location /�tS7'��tt�l�- )/n.tr-�9w c ,(�)gyr � " �
as there been any split of this property since October 1, 1988? 4 !l't
yes no
f yes, Planning Board Review isnecessary.
UBDIVISION NAME, IF APPLICABLE LOT NO.
he person responsible for supervision of work as regards Building Codes is :
NAME P .O . ADDRESS TEL. NO.
ame of builder Address Tel
ame of Plumber Address Tel
ame of Mason Address Tel
JURE 01 PROPOSED WORK: * ZONING INFORMATION (office use only)
_Construction of a new building - ZONING DESIGNATION OF PROPERTY
_Addition to a building * PERMITTED PRINCIPAL PERMITTED ACCESSORY
_Altur:,tion to a building *
(no change to exterior dimensions) * REVIEW REQUIRED- PLANNING BOARD ZONING BOARD
Other work (describe:) 7 C-IC * SITE PLAN REVIEW # APPROVED DATE
CPr>C2 j
LOSS AREA OF PROPOSED, STRUCTURE * VARIANCE # APPROVED DATE
st Floor sq ft . * Remarks:
*
nd Floor sq f t . * COMPLETE IpPO1MATION REQUIRED UELOW. -725
* Size o f propertyf t X^ �7t f t. r-CUES-S
ther Floors sq ft . - Existing building(s) �.Sie 3 ft X �b Ice. aG")
not cellar or basement) *
OTAL FLOOR AREA_ sq f t . * Existing building ( ;) Use /mA C1i17)46/.
ize of now structure ft X ft *
oundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) * Front yard - ft Rear yard4/ _ ft
a. of stories (habitable space) �/ ft
* Side yards / ft and
eight (grade to ridge) ft. * If on corner, setback from side street ft
f residential, no. of families
o. of rooms(excludin'l baths) * OCCUPANCY INFORMATION
o. of bedrooms *• PRIMARY BUILDING -
lo. of bathrooms - One family dwelling
,pie of heating system - Two family dwelling
We of fuel Multiple dwelling / Number of units
►o. of fireplaces to be installed * Permanent occupancy
Jill a wood stove be installed? *•
Transient occupancy
Air conditioning? *
* business
WILDING STYLE, PRIMARY STRUCTURE * Industrial
* cher ,•C frl2 A-i/.�i2 ( pi— i
winch Contemporary Log cabin _of addition, wl►a Lisle e be?
., d ranch Mansion Duplex * cis'JH �2 Le Hi:5
is� 7-.7-71-6/-
Uplit level 'Old 1e bungalow
:ape Cod • ottace Ocher * ACCESSORY BUILDING
:olonial l:ow < Town House * Detached garage/one cur/ two car/ car
. ( CIRCLL ONE PLEASE ) * Attached garage/one car/ two car/ . cut'
a * a * * a •*' * . • * * ,x * * a * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION L L *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 10/88 v1
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) `176 I,a1t7 v
Will there be a cellar? Heated or unheated? Floor sq. / ootage sq ft
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 62 " 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 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)
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 ,� rycOwner, owner' agent, archect, cont c
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED '7-! -'
NAME
LOCATION 1:16,,L
DATE -2 / PERMIT # '''' -16-1 S1
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
VFINAL INSPECTION:
CHIMNEY HEIGIT
ROOFING
SIDING
EXTERNAL PORCHS/STEPS
STAIRS-CLEARASCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRI/1/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETgCTORS
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:
•
I SPECTOR
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