87-057 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-57
WARREN COUNTY, NEW YORK
5
PERMISSION is hereby granted to Chalmers B. Dewey
'
OWNER of property located at off Pilot Knob Road and on Lake George Street,Road or Ave. t i
m
in the Town of Queensbury,To Construct or place a Dock/Sundeck
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 9f Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 13OX 8
Kattskill Bay, New York 12844 - -
2. CONTRACTOR or BUILDER'S Name -
O
same-
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3. CONTRACTOR or BUILDER'S Address ~
same �*
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4. ARCHITECT'S Name ,d
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5. ARCHITECT'S Address a
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6. TYPE of Construction—(Please indicate by X) m
0
( )Wood Frame ( ) Masonry ( )Steel ( ) o
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7. PLANS and Specifications -
24'x37' deck and 14'x28' sundeck per plot, specifications -
No. - and application submitted.
8. Proposed Use t7
n
Dock/Sundeck x
. ' a.
CD
$ 15.00 PERMIT FEE PAID —THIS PERMIT 'EXPIRES - . October 1 19 87
(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 10th Day of March - 19 87
SIGNED BY G 113'/ for the Town of Queensbury
Building and Zoning Inspector ay
- TO BE COMPLETED BY BLDG. DEPT. •
i Application No.
Jown of Queeniktry Permit Issued 19
BUILDING and ZONING DEPARTMENT TOWN OF QUEENS uiJ1 Y
Permit Expires - 19 4
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ,//' r //f- D 1 ..u;qq. E
Queensbury, New York 12801 ' Variance No. 7, ii.)
' •
Site Plan Review No. y/• MAR 9 1987 "`'
Approved by: /.,5�`� l -(--e,rq
{{ XIUCLD1NG & CODE DEPT:
APPLICATION FOR i
• BUILDING AND ZONING PERMIT • __ r
.* * * * * it. .* * * * * * * .* * * * * * * .>_. ,* * * * * *• * * * # * * *. * * *3:
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. c Alm e i B. D ew
The owner of this property. is: M2. Cr3, DEWEy P �f
P.O. Address I`OO SC 0 ka-f-Tc icli ( A(_lf N , l'- i 'f `Tell.) w) IO-gf-3V7O
- 1Tax MapNo. U
Property Location: �?3 y DO i q, — I �{� �•� /9 / / / �
Street number or building lot number all
Subdivision name (if applicable) ---
THE PERSON RESPONSIBLE FOR SUPERVISION OF- WORK AS REGARDS BUILDING CODES IS:
Me: e.g. be,I.j 13o}( $ k(c-f.,lc;l( Oe.ki W' (�s(°-g3`70
Name P.O. Address Tel. No.
,
Name of builder eme,C', e, ,bpA ) .c l -Address i)0K q b,q11,kill 0j, Tel. 6�(,—g37A
Name of plumber Address v ( '. Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: . * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
_Addition to a building * drawn reasonably to scale and attached hereto,
_=--_--A--teration to-a—building— -- -- -. showing—clearly-and--distinctly—all -buildings, _ _ __.
(no change to-exterior dimensions) * whether existing or proposed and indicate all •
I/Other work (describe) * set-back dimensions from property lines. Give
fB, ,i (eO v • d ocl( �oC:el-kb(-e-,-e. * street and number or lot: number and indicate
FOR DEMOLITION �ERMIT, STATE SIZE AND ** whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. " of water supply and location and configuration
/� * of septic disposal area.
A * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ' /f}p ft X . :� /IS ft.
* Existing building(s) Size So ft X R ft.
*
PROPOSED B ILDING AND USE:�7l Dr2c n( S TtlIct- C) 1 * Existing building(s) Use - $'j6ya , ft Qc'-fl1f _
Size of ne structure vr, ft X ft
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
*
(circle one) * Front yard ' " ft Rear yard . ft •
No. of stories (habitable space)
Height (grade to ridge) ft. * Side yards ft and ft
* I on corner- etb ck from s street ft
If residential, no. of families VOL-14. IA) i I I b� LP� Z7+ et "Feel—.r. pir-ct ped'`
No. of rooms(excluding baths) * OCCUPANCY INFORMATION Ii,v t .
No, of bedrooms ' ' - ' *
No. of bathrooms * PRIMARY BUILDING -
Primary heating system *� ' One family dwelling f`�__ -
Type of fuel x _ ' Two family dwelling-- •
-* Multiple dwelling / Number of units
.0 No. of _fireplaces-to__be installed permanent occupancy
=Wi=11- a wood stove be installed?
Central Air.. conditioning? * , ransient occupancy
RiiC-n C _ _.-• _ _ _ A
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: r( _
Type- of construction, wood frame, fire safe etc. .5 jock- (A/0OJ )
Will.any second-hand or ungraded lumber be used? If so, for what? 4/1
Foundation wall material /� ft Thickness .
Depth of foundation below grade (to bottom of footing) 11-
Will there be a cellar? Heated or unheated? Floor sq. footage 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 " 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
I-f 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)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
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 !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 fs -=--
authorized by the owner.SWORN TO BEFORE ME THIS Signature <J',�/ � n- 75 • / .2iG'
Owner, owner's agen ,ar ct,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
1
TOWN OF QUEENSBURY .
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832 .
BUILDING' INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED f'.r �//f ,0
NAME C YI(,(L1fYI1�A,l U_ Ll tP I9 hie-,
LOCATION o .i0�,4 I5'21 , 19 CC- .(i(
DATE di I 90 ?• PERMIT # d 5 7
1
APPROVED
ib l'Al ,1IG!/n dli ,i 1 YES NO
1 FOOTING/PIERS
MONOLITHIC POUR FORMS, •/
FOUNDATION/DAMP-PROOFING I
BACKFILL APPROVAL 11 /
ROUGH PLUMBING
FRAMING ., I ���///
ELECTRICAL ROUGH-IN ' •
INSULATION: i .
FOUNDATION 1.i
FLOORS / ,
WALLS
CEILING f.
FINAL INSPECTION: j
CHIMNEY HEIGHT
ROOFING :! s%
SIDING .
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCES'& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR.TRIM/PRIVACY DOORS
FINISHED FLOORS; ;` _
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL! INSPECTION, '
FINAL APPROVAL OF CONSTRUCTION
1 •
ij
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROMjTHE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!G
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REMARKS: y J 11
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INSPECTORAll
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