1986-241 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-241
WARREN COUNTY, NEW YORK
301 • i
PERMISSION is hereby granted to Marcia Ginsburg
OWNER of property located at Triphammer Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (porch)
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 Triphammer Road
RD #3 Box 350A
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Bill Miller cr
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3. CONTRACTOR or BUILDERS Address RR Box 1712
Lake George, N ew York
4. ARCHITECTS Name
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5. ARCHITECT'S Address m
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6. TYPE of Construction—(Please indicate by X)
( X Wood Frame 1 1 Masonry ( )Steel I 1
7. PLANS and Specifiations
16nx20' per plot, specifications and application submitted. w
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8. Proposed Use H.
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One-Family Dwelling (porch addition) n
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$ 10.00 PERMIT FEE PAID-THIS PERMIT EXPIRES December 1986
(If a longer Queensbury
ry efd an the
nnfor andate.)
extension must be made to the Building and Zoning inspector of the oa
town of Queensbury before expiration dro.l
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Dated at the Town of Queensbury this 19th Day of May 19 86
SIGNED BY )21cz% G. atz for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.
Application No.
own o Queensturt� Permit Issued 19 TOWN OF QUEENFCJ J
BUILDING and ZONING DEPARTMENT Permit Expires 19 2 ((fl E II \.� Lu
' �iNN1111YY11 �eC 1�J1 LS �f V U
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Il
Queensbury, New York 12801 Variance No.
Site Plan Review No. guild y;.;��' n.
/a5_ .S_13 Approved b 7. y 1�2�3('/435.6
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APPLICATION FOR d K u)
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * * * * 1 * * * * * * * * * •:i*
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: Mci' 4MA.tc'/.4 6l.JShidhnG-
P.O. Address 47) ;,4-3 t Ck SSO Q 77eff- /9-v•'7.pr eb 6.2e: $ha-Lc. Tel. 793 2 S'C/
Property Location: Tax Map Nod 25-/ S / '7)
Street number or building lot number
Subdivision name (if applicable) gn fo t' b 04O. c { o Ts. 7 3 l V )
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS BFPARDS BUILDING CODES IS:
A/44 mitt'? ''le 4,0,2 //lAiF<'. rA.J 79,3 rt/ 07
Name P.O. Address Tel. No.
Name of builder iy/,-47//f Address Tel.
Name of plumber .I/e' Address Tel.
Name of mason y SRmE Address Tel.
NATURE OF PROPOSED WDRK: * 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
Other work (describe) * set-back dimensions from property lines. Give
_
* street and number or lot number and indicate
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
* 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 it ft X.15 6 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) /Q ft. * If on corner, setback from side street ft
If residential, no. of families {
No. of rooms(excluding baths) / * OCCUPANCY INFORMATION
No. of bedrooms 4/04r *
�p4< * PneY BUILDING -
No, of bathrooms • /One family dwelling
Primary heating system p,1,F
* Two family dwelling_
Type of fuel Multiple dwelling / Number of units
No. of fireplaces to be installed ✓y *
permanent occupancy
Will a wood stove be installed? !/d Transient occupancy
Central Air conditioning? A19 *
* Business
BUILDING STYLE, PRIMARY STRUCTURE _Industrial
Other
Ranch Contemporary Log cabin • If addition, what will use be?
Raised ranch Mansion Duplex S•CyF,/ fr/oil,..zi
Split level Old style Bun slow *
Cape Cod Cottage he * ACCESSORY BUILDING-
Colonial Row Town House * _Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) _Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * TPrivate storage,(building l�
ESTIMATED MARKET VALUE OF * ✓ Other 5'Cegee/ /10/15-e V lkCt1 %Aao'e
CONSTRUCTION $ 4. voc.00 *
'ORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
EPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED - •
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. co t O /ir///f s<
Will any second-hand or ungraded lumber be used? If so, for what? if
Foundation wall material Thickness
Depth of foundation beloy grade (to bottom of footing) -rAn
Will there be a cellar? Q (Heated or unhe a Floor sq. footage 32i sq ft
Will there be a basement? t p Will any portion be used as living space? /�p
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other$(o/le'1 Material of roof A$' L? ,S'f/i'✓�L,�
Size, wood studs a "X 9 " spacing )4 "o.c. length S 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) - p g ?� --s. =5pa� �-fit.
Roof rafters A ."X L " spacing ) Z o.c. span t.3 ft.
Roof trusses(pre-engineereA) spacing "o.c. span ft.
Exterior wall finish C)ft'Z1'iJ ) f 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? A 0 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
County of Warren AFFIDAVIT STATE OF NEW YORK
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,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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PROJECT PLAN NO. 3907
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PROJECT PLAN NO. 3907 - 1
®Meredith Onfperatioaten AI rights resccnd. Printed In United States of America
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mensions Is advised before starting work.
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