88-306 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-306
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to William H. Walker co
i 120
14.
OWNER of property located at Pilot Knob Road Street, Road or Ave. ti
in the Town of Queensbury,To Construct or place a Demolition — Dorm
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.
ti
ti.
1. OWNER'S Address is
Star Route
Glens Falls, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name ti
(D
Same
3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
•O
SL
R
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
()
( )Wood Frame ( ) Masonry ( )Steel ( )
N.
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7. PLANS and Specifications 0
No. Demolition — 25' X 22' Garage & Dorm as per plot plan and
application. 1-1
8. Proposed Use
Demolition — Dorm
$ 70_00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 19 88
(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 31st Day of Mau 19 88
SIGNED BY ' for the Town of Queensbury
Building and Zo i g Inspector
TO BE COMPLETED BY BLDG. DEPT. •
�f / Application No.
_town of Queeniuria • Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QUEENSI3URY
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation e.
Queensbury, New York 12801 Variance, No. id/4 ;, j
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: )A
Site Plan .Review No. 8J ��� "� �� �
Approved by:
APPLICATION FOR BUILDING & CODE D�PT"
FUILDING AND .ZONING P ���� ��. .NIN PERMIT
* * . * of . * * * * * * * * * * * * * . * * * * At * it. * * * * * * * * * * *
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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.
The owner of this property is: y//14/A.,44 �- 6/1/-X EA
j�k i
P.O. Address • f O0 61e J I'9LL S Tel.kud gi9\9
Property Location: 714 d7 /<//d AUK Tax Map No./,‘; / ( / Z-L
. Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
f e A3 No 1/.' "
Name P.O. Address Tel. No.
Name of builder Address . Tel.
Name of plumber. Address Tel.
Name of mason Address . Tel.
NATURE OF PROPOSED HARK: * ZONING INFORMATION:
_Construction of-a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITPED,
Addition to a building * drawn reasonably to scale and attached hereto,'.---Alteration to a building * showing clearly and distinctly' all buildings, ' •
(no change to exterior dimensions) ' * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
_
* street and number or lot number and indicate
v FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
r * of water'supply and location and configuration
LOCATION OF STRUCTURE AFFECTED. 1i X *
i of septic disposal area.
/�fffl �.fp , '- - e i f A4' * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property . ft. X ft.
* Existing building(s) Size ft X ft.
* . .
PROPOSED BUILDING AND USE: ' * Existing building (s) Use •
Size of new structure 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) * Side yards ft and ft
Height (grade to ridge) ft.
lf residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION -
*
No. of bedrooms * PRIMARY BUILDING -
No. of bathrooms ' One familydwelling
Primary heating system , *
Type of fuel Two family. dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial .
Ranch Contemporary Log cabin * Other ?
Raised ranch Mansion ' Duplex * If addition, what will use be.
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row • Town House * ' Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/_ car
* * * * * * * * * * * * * * '* * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ * -
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF. THIS SHEET, TO BE COMPLETED!
•
Form BPA 4/86 and-vl • •
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS:` _ .
Type of construction, wood frame,. fire safe,etc., •
Will any:':'s'econd,`hand or ungraded lumber be used? If so, for what? '
Founda_ tion`wa41'1`material ' • , Thickness .
Depth of 'foundation below grade (to bottom of footing)'
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). 'lst.' 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 _ - _`k"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)
Town of Queensbury STATE OF NEW YORK
County of Warren .A, F F D A V I T
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`is;
authorized by the owner. •
SWORN TO BEFORE ME. THIS Signature
Owner, owner's .agent,arcn}tect,contractor
day of 19 '
Notary Public, Warren County,, N.Y. - • .
* * * * * * '* * * * * * * * * * * *• ,* :.* * * '* * * * .* * * * * * * ..* * * -* * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: . , .
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