1986-239 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-239
36T , ). WARREN COUNTY, NEW YORK
PERMISSION is herebyW
granted to David Arnold <
H.
a
OWNER of property located at 12 Sargent St. Street,Road or Ave.
n
in the Town of Queensbury,To Construct or place a Addition to dwelling (screened porch) F,
at the above location in accordance to application together with plot plans and other information hereto filed and p'
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is 12 Sargent St.
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name Bill McCoy
3. CONTRACTOR or BUILDERS Address
w
n
RD 81 w
m
Glens Falls, New York
cn
4. ARCHITECT'S Name eat
n
5. ARCHITECTS Address
9
6. TYPE of Construction—(Please indicate by XI
P
n
Ixl Wood Frame 1 1 Masonry 1 I Steal I I 0
0
7. PLANS and Specifications n
O
No.
22'x32' per specifications and application submitted. m
8. Proposed Use m
op
One-family dwelling (screened porch added)
m
n
n
CD
m
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 tg 86 m
(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.)
n
0-
Dated at the Town of Queensbury this 16th / Day
of May 1g 86
SIGNED BY (/.( J Ll, rt-La-j_ for the Town of Queensbury
Building and Zoning Inspector (�^J
Cc-�7/ // TKO BE COMPLETED BY BLDG. DEPT.
Applicon No.
ti
✓OWn Of Queenlbury PermitaIssued 19 TOWN OF QUEENSBU,"'
BUILDING and ZONING DEPARTMENT Permit Expires 19 rl I� !N 2 II 11I1 y (1
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ,Yu[ LS l(9 5 11 V b U
Queensbury, New York 12801 Variance No. --�
Site Plan Review No. MAY 16 1986
Appro d by: A.M. ,,IyooOK„� P.M.
APPLICATION FOR ()kA_.� 7I8I91:" .91'213141616
s kro d-t 0
BUILDING AND ZONING PERMIT
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// Per�m�it�..�y/y- /�
The owner of this property is: // n,"4-4' ��OI"".'�_"' Ilk YI a 1(�
P.O. Address l�. fty,9,e..fr �_/�7 • /2 5 a r, -era' Tel.Property Location: mow/ Tax Map No.16y / 'I / 13
tr9 eet numbe building lot number ..
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
N P.O. Address A Tel. No.
Name of builder ,QZ * 04 Address Tu. 7 ,f.n,/ Tel. 792 `rib
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED hORK: ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
rAddition 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
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 ,Zpo ,r _//. ft X a 00 ft.
* Existing building(s) Size ; ),U-Tt X 2 2, ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use c,,..., /I,,....4
Size of new structure ,21'fft X,j 2-ft
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
--
'Mole one)
No. of stories (habitable space) * Front yard 7 ft Rear yard } 0 ft
Height (grade to ridge) ft. + Side yards p 0 ft and $-o ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms "
of bathrooms * PRIMARY BUILDING -
No.
No. of * One family dwelling
Primary heating system
* Two family dwelling
Type of fuel * _Multiple dwelling / Number of units
No. of fireplaces to be installed Permanent occupancy
Will a wood stove be installed? * —Transient occupancy
Central Air conditioning? '" —
* Business
BUILDING STYLE, PRIMARY STRUCTURE _Industrial
Other
Ranch Contemporary Log cabin � If addition, what will use be?
Raised ranch Mansion Duplex aICRIe•u Lk) Vo n_ct-(
Split level Old style Bungalow a.
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * i/Attached garage/one car/ two car/ / car
* * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * _Other
CONSTRUCTION $�-iV {Q O *
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 second-hand or ungraded lumber be used? If so, for what?
Foundation wall material Wit) Thickness l(bl� (y �p/bs- Mo,u0-ff0uK
Depth of foundation below grade (to bottom of footing) 2 `0
Will there be a cellar? Hcatad or unheated? Floor sq. footage sq ft
Will there be a basement? portion he living space?
(If so, what portion? sq.ft. - - use?
Type of roof - -lope. flat/shed/other Material of roof ALt?-(r LMO.
Size, wood studs "x ( " spacing 3-G "o.c. length $' ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) Z "X (p " spacing /k' "o.c. span /I'b'ft.
Roof rafters I "X / " spacing /6 o.c. span /J_ft.
Roof trusses(pre-en n. ...$) aein-g "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 . elling? If so will Fire-rated
door, enclosure, and s, f-closing device b- provided?
Will a flue-lined ch'.• ey be installed? Height above roof ft.
Depth of chimney f. ndation below grad- ft.
Depth of firepl. 'e hearth ft. .
Water supply - unicipal or privet: well
SEPTIC SYS Distance from • r private well(including djoining properties ft.
(A separa•- application is nec-ssary 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 BEFORE MCC/THIS Signature_LAZ(epl c __
Owner, owner's agen arcmtect,contractor
da of/' 19
Notary Pub ic, Warren County, N.Y.
* * * • • * * • * * * * • * * • * * • • • * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
EXIST
' L to ' _
Fll
b4 i
AL13ANENE O 10 5455
ARCHITECTS' STANDARD FORM
0
E-X,c�—1
r400,- I
E E EV 4 :RAJ
SGLlJ&CoE E"E ZMf:0J(.
C "IF E LT
CD)( PLY WI)
(2 OLL &W-
0— 84 P7-
"A L,
HOST I 2x co' STUDS
1-)C. ALL `4?� --, I
, )L
m1pi
MV F
%Ac
401
FLw$-
1pltl� 18114f 0AJ6 F-L:e—ki-
iz)?D 5r A/ L L L
(isv 'Drkp-es)
—14 ll
SCALE DRAWN BY
REVISED
m le is
DATE APPROVED BY DRAWING NUMOCR
MADE IN U.S.A.