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88-364 BUILDING PERMIT iL TOWN OF QUEENSBURY No. 88-364 ' WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to John Polk OWNER of property located at Assemblq Point Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition - 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 of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is pp 12 Carrie Crt. Schenectady, N.Y. 12309 ro ti 2. CONTRACTOR or BUILDER'S Name Adirondack Cont. 3. CONTRACTOR or BUILDER'S Address Star Route - Box 159 Glens Falls, N.Y. 12801 to cD 4. ARCHITECT'S Name ti ro 5. ARCHITECT'S Address c�h 6. TYPE of Construction—(Please indicate by X) 41 ( )Wood Frame ( ) Masonry ( )Steel ( ) a Imo. rt 7. PLANS and Specifications p No. 14' X 26' as per plot plan, drawings and application a 8. Proposed Use Addition of sundeck to existing boathouse $ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 89 (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 9th Day of June 19 88 SIGNED BY for the Town of Queensbury Building and Zoning Inspector . v. l =' _ TO BE COMPLETED BY BLDG. DEPT. I _Cl�] Application •No. ain of Queenibur[y , Permit Issued T9 cO'f.'N OFQUEENSFURY. • BUILDING and ZONING DEPARTMENT. - Permit Expires 19 - • Li? '+- tjl 7` - Bay and Haviland Road, R.D.•,1_Box 98 �Zoning Designation � - � Queensbury, New York 12801 - •- -Variance No. - �� = Sine. Plan; Review o. :JUN 6.99 . 88 ` ,, �- )' - . - - • Approved,by: UILDING & CODE DEPT. . APPLICATION FOR .14//. f m6. F,UILDING AND `ZONING PERMIT - , . • ' • . * * * .* * * * .* * .* .* * * * * 0* * -* *. *- * * * * * .• * •# * * * *- *• -* * *' * * * 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 maybe indicated on the Permit. . VIA_IN The owner of -this property is: i J 2���, _ - P.O. Address '(, ` .vre c4ti SG° e., -C_" 4 . / IZ3O' Tel. 6 jam-9Z5 Property Location: �1 .Z. L� �s5�w� Goue�, e C-_,IiS-Ce Tax Map NO. / / • Street number or .building lot:number Subdivision name (if applicable) - _ THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: . ' - Name P.O. Address .� "' Tel. No. .171 Name of builder iFTo ' (d�, , Address ' /SI•- 5*u- 1 k, fir " Tel. 615-6 %ZO Name-of plumber �, - Address Tel. ' • Name of mason / Address' Tel. - NAT RE.OF PROPOSED.tORK: " . * ' • • .. . 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, _Alteration to a building . * showing.clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all _otherZe2scribp) * set-back dimensions from property lines. Give . , . * street' and number or lot number and indicate FOR DEMOLITION PERMIT, 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. . *, . * COMPLETE INFORMATION REQUIRED BELOW: - ' * Size of property' ft X - ft. '* Existing building(s) Size /4 ft X ZGo ft. . *. . . . . . . . . . . . . . PROPOSED BUILDING AND .USE: ' * Existing building(s) Use ' '' :-` cfu-5e ' Size of new structure . / ' ft X x(,,ft '* . • . Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) No. of stories (habitable space) *• Front yard" ft Rear. yard ft Height (grade to ridge) • /lo- ft. . * Side yards ft and ft If on corner, setback from side street ft If residential, no.. of families * . . No. of rooms(excluding baths) ' ',e."- * OCCUPANCY INFORMATION No. of bedrooms j * . * PRIMARY BUILDING - No. of. bathrooms _/ *• ' One family dwelling Primary heating system S - *- Two family dwelling - Type of fuel • 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 * ndustrial • Ranch Contemporary Log cabin *' they ' . ' J�iv ec L..��l..5 _ Raised ranch Mansion Duplex *'If addition, what will use be? Split level Old style' Bun alow . * • Cape Cod Cottage !+ Othe Ste' * ACCESSORY 'BUILDING- Colonial Rowown House•' - ' Detached garage/one car/ .two tar/ . ' car - • ( CIRCLE ONE PLEASE ) - * ' Attached garage/one car/ two car/ car * ' * * * * * * * * * * . * * ' * * - * *' Private storage building : • ' ESTIMATED-MARKET VALUE' OF - • • *'—Other • ' CONSTRUCTION "$ .. 575-nn-� • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE-COMPLETED! • Form IWPA 4/86 and-v1 - ' • BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATION Type of construction, wood frame, fire safe,etc. ItiAnd64 Will ahli6e!'dondh'and or uhgradedi.Umber be used? If so, for what? Foundation wall material ",7,./.4 Thickness Depth ,of foundation below ,grade (to bottom of footing) Will there be a cellar? „V.... Heated or unheated? Floor sq. footage • sq ft Will there •,b•e4 basement? any portion be used as living,space? (If, p,• what portion? ,sq.ft. - - Type of use? Type of roof - :sloped 6eM shed/other Material of roof 4,7,04,,,,t(-- i-cop Size, wood, studs 6 "X " spacing Air 7.'"o.d.' length • ft. Joists(floor beams) Is4.-1.1o4r 4 "X CO " spacing span /Z. ft. .rrezmp., Joisi4 (floor. beams) -72Treil-r-f-1-eor 2._ "X /0" spacing "o.c. span /2. ft. Overl'as(ceiling beams) "X • " spading "o.c. span ft. 'Roof rafters "X " spacing " ci c.. span ft. _ . - Roof trusses(pre-engineered)- -spacing span • ft., Exterior wall finish Of 'what material? Inte-ridr%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. _ Deptii Of fireplace hearth ' ft.' -• ' • • - Water supply - Municipal or private well • - SEPTIC,SySTEM-2,Distance from ANY priVatewell(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 is authorized by the, owner. SWORN TO BEFORE ME THIS Signature f;e-QT--10% Owner, owner'#afeHit,architect,contractor day of • 19 . •. . • Notary Public, Warren County, N.Y. , j * * * * * * * * * * * * * * ,* * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • . r • • By t -1------f--- -i-1.---- 1 --. -1-------------------: -'-c- -" .* ' I •• 1 1 L._ I 1 1 ' , I_ - _i.._ ;.. 1 ,, ',,,,K piie L_ . • ' ' .1_ ..t_ ,_. 4 , _. _J__. _i_ _...1. ' 1 , I 1 r •,.,1 . I , • ,Th .;..Ailtri .., - . • . --t-----: , -i----,-----r--- , ---4---1---- ., i, 1' • i • ....____ . .. • , + i — _ i ; I —r- 1---- -- --I- li ! 1, i I • 1 1 • 4-- 1 I- • V i t .1. I s, • ! • • I 1 . F .. I ! . 1t . 1 1 ; 1 , .r4r . Mk. L •, , , 1... ! \ (1 1 1 • I -.41 i .Ai. 1 1 1 •r— - 1 . 1 1 I IT- --- .1-- _1 ! I T (:‘,..a ..? I I I I } -41----' 1 1 I • 1 1 I I , _ I I I 1 ' 4'* ji C' •f i•d) ..-)1° 1 67E • i-0 I; `Di X 17 -1-----t ' - ,1 1 . . I , 5';''' ' • 1 ' . 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"j•N F1ys,sti ���'+!'. z o 1,. �n i ,2ice.. { e i.-;�is , 2.i •\,-i\ ' '' .j r • ': f`, T 'G .i .r!� •:3 },., '1) - •:t v'r:,.cS t'p•`:t.' I •'i'.: , .i`f✓�P l_ 4t �rti� J wlO , 4 ;t t• , t M1 ..••'„..7+ 1 ,r,,,':`' a [S f t( . • N Yz' j ;t ' tti,i• • �1 oO r, C® , a• , ,� / f iA!i L.- ';7777,7-1,„, ':::',•.•\.,.;:i' ',..:.',•-,:‘,.•:::::‘,.7::_:.:,,*,,,,-;,';_:;":", ,,..,'.---• ,. '',•. 1 Aa • ' tr �•A•-, >''s'. ,�inr �'[4•.rr �;,.,..':,�:; 'k 'vh 7t • • Yl� ' r a . ' : vy 't :rh si a •v iir. , :',,, >?.{':.r "S• - TOWN OF QU ENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILA D ROADS QUEENSBURY, YORK 12801- TELEPHONE ( 8) 792-5832 . BUI ING INSPECTOR'S'REPORT Z-3- i .. REQUEST FOR I +PECTION RECEI D NAME # , 14-11°--, LOCATION ,I, i/y9744 i i ii DATE i-© G(� ' PE• 'IT # i,3�p 1 - APPROVED Gf�G�— diJ YES NO FOOTING/PIERS ' MONOLITHIC POUR lORMS FOUNDATION/DAMP— 'OOF .NG • BACKFILL APPROVAL\ ' ROUGH PLUMBING .` . ! FRAMING ELECTRICAL ROUGH—I I ' ' ' ' • INSULATION: 1.1 FOUNDATION FLOORS ,�:C, . . ' . . WALLS ' 1 l . • . . . . CEILING / 6 FINAL INSPECTION ' t CHIMNEY HEIGHT' �1 ROOFING Vi. SIDING I ' ' EXTERNAL POR �•ES/ST PS ' STAIRS—CLEA 'NCE & FAILS PLUMBING FIX URES/REILIEF VALVE INTERIOR TR M/PRIVAC k DOORS FINISHED FI ORS GARAGE FIRE'ROOFING VI DOOR CLOSE'(S) , - SMOKE DETE;TORS ', FINAL ELECTRICAL INSPEC ON" ' ' ' ' ' / .FINAL APPRO '1AL OF CONSTRi,CTION OK TO ISSUE/C/O OR .C/C 3 A SIGNED C:RTIFICATE OF O',CUPANCY MUST BE OBTAINED F~OM THE BUILDINL' DEPARTMENT BEFORE THESE PREMISES ARE OCCUPI o REMARKS: 1 • . i • r • • 'Al I` ARRIVE /62 / ART � , OS • ,, 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 NAME 2C/ LOCATION :-; DATE Q- /,q -ffq PE.MIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL PPROVAL ROUGH PLUM ING FRAMING ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS \ f WALLS \ 1 CEILING .\ / FINAL INSPECTION: V CHIMNEY HEIGHT ROOFING I SIDING EXTERNAL PORQHES/ TEPS STAIRS-CLEA-LNCE &\RAILS PLUMBING FI TURES/RELIEF VALVE INTERIOR T IM/PRIVACVY DOORS FINISHED F ORS t GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS 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: Ciov lc� / 7` d any J� Gtiog le /fie i ,f/cr9 INSPECTOR