1986-238 BUILDING PERMIT
TOWN OF QUEENSBURY 86-238
No.
WARREN COUNTY, NEW YORK
2D �� `f William F. Billings
is hereby grant to
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on rl
OWNER of property located at 3 S d Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (deck and bilco door)
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 Oueensbury Building and Zoning Ordinance. 1-'
1. OWNER'S Address is RD #1 Box 284
Glens Falls, New York
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2. CONTRACTOR or BUILDERS Name
Do
same
3. CONTRACTOR or BUILDERS Address
same
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4. ARCHITECT'S Name g
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co
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6. ARCHITECTS Address �
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6. TYPE of Construction—(Please indicate by XI
I I Wood Frame I Masonry 1 )Steel 1 1
7. PLANS and Specifications
No. 10'x22' deck and bilco door for cellar per plot and a w
application submitted. n w
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B. Proposed Use
03
One-Family Dwelling (deck and bilco door added) oo
as
H. £
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$ 10.00 PERMIT FEE PAID-THIS PERMIT EXPIRES December 1 19 86 0DP
(If a longer period is required an application for an extension must be made to the Building awl Zoning inspector of the Ot
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this Iliad
Day of May
May ig 86
SIGNED BY 21OC + a Iv ((I� for the Town of Oueensbury
Building and Zoning Inspector
m m TO BE COMPLETED BY BLDG. DEPT.
Application No.
own of Queenetury Permit Issued 19
BUILDING andZONING DEPARTMENT Permit Expires 19 -OWN OF OUEENSE2 -.
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Il 2 (pl (� II 117 ,F,1
Oueensbur)1, New York 12801 Variance No. l L5 lJ L� V' L, U
�'j Site Plan Review No. 1
L7 U — / _ O / Approved by' ,�J� m. ",, ) le .+�1J%b. At
APPLICATION FOR I 7ISI9 -71II3I4I6I6
FUILDING AND ZONING PERMIT "
* * * * * * * * * * * * * * * * * * * * * * * * * * * a * * * * * * * * * *::*
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 indicate/ M indicated on the Permit.
The owner of this property is: I/I/,(/iI !/ 531/L/ ✓vfJ
P.O. Address Rps/ /Jcy ai*/ // Tel. A/f.7'73y7
Sa
Property Location: ,'t o{
ysine a Tax Map No.56) / / / A./
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name n�1 P.O. Address Tel. No.
Name of builder bt/licl„ /3//g4/ Address Co (�Jc,-C Tel.
Name of plumber JJ Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED W3RK: * ZONING INFORMATION:
_Construction of a new building * A PLOT PLAN MUST BE PREPARFD 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) ' ee/t * set-back dimensions from property lines. Give
4WD ,ye.0 /+p//t2 ea/ Ail/Ice, j p6 * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIX Met"' * 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 OS ft X 22 ft.
* Existing building(s) Size d '7 ft X ,'j 1- ft.
*
PROPOSED BUILDING AND USE: 7� * Existing building(s) Use ✓✓Ay p
Size of new structure Xi;id ft X "f ft
Foundation at, slab/crawl/partial/full * Proposed building, distance from property line
(circle one) /
No. of stories (habitable space) 3
*• Front yard ft Rear yard
'I SS! ft
Height (grade to ridge) � ' £t. * Side yards 8' ft and ✓7 a ft
If residential, no. of families .tt * If on corner, setback from side street ft
No. of rooms(excluding baths) -70C * OCCUPANCY INFORMATION
No. of bedrooms --Ili) *
No. of bathrooms j+{.-(' * PRIMARY BUILDING -
Primary heating system /Lt * K.One family dwelling
Type of fuel pN + _T'NO family dwelling
No. of fireplaces to be installed WU/ * _Multiple dwelling / Number of units
Will a wood stove be installed? /LO * _Permanent occupancy
* Transient occupancy
Central Air conditioning? /W
* 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 Bunsalow *
Cape Cod Cottage *id., * ACCESSORY BUILDING-
Colonial Row • n 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!
F-nn Ill " 4/! ( flV -V]
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: " '
Type of construction, wood frame, fire safe,etc. I,�/n,)Q
Will any second-hand or ungradedgr lumber be used? If so, for what? /V Ll
Foundation wall material (J�ry</A I Thickness p )' /- K
Depth of foundation below grade (to bottom of footing) •/O "
Will there be a cellar?/k% Heated or unheated? Ai Floor sq. footage sq ft
Will there be a basement? h O Will any portion be used as living space? ivJ
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other/}_,u a Material of roof
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor 024 "X l " spacing/6 "o.c. span A 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 N^C 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? /14.7 If so will a Fire-rated
door, enclosure, and self-closing device be provided? A.°
Will a flue-lined chimney be installed? 2:42 Height above roof ft.
Depth of chimney foundation below grade r40 ft.
Depth of fireplace hearth ft. in. /J -�
Water supply - Municipal or private well 7R/j/A /,k. ,.) / /"
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties 7S 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, wheth r specified or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature �LKitorl<\`\;�di� �tLc
Owner, owner's agent,ar ect,contractor
day of 19
Notary Public, Warren County, N.Y.
R * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
Building Department
Name Laratim-13/R Report
Date
Permit No. X/a- 3 A
—__ Weather
Remarks
Excavation
Foot in. Forms
Footin. & Piers
Foundation
Cement Coat
Water•roofin•
Backfill
Final Survey
Framin•
Shea thin.
Roof Felt
Roofin•
Sidin•
Masonr Veneer SWWW
Rou.h Plb• . MINLIF
Relief Valves
Wall Board a•
Ext. Porches
Finished Floor
Interior Trim
Stairs & RaTile•s
Cellar Dr. Tile IF
Concrete Floors al
Pl.. , Fixtures
Gar. Fire•roofin• 4
Door Closers
Chimne
Water Meter Inst.
Se•tic A••roval
Floors
Insulation Foundation
Walls
Ceilin
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
hmeeetare
Report Date /2 t
fj ci.lU6 c
Pow LT- -�`f�aF b
t- C Weather
id-.23er Remarks
Excavation
Footi • Forms
Footin. & Piers
Foundation
Cement Coat
Water•roofin•
Backfill
Final Surve
Framin.
Shea thin. '.
Roof Felt
Roofin. f
Sidi • 11111
Masonr Veneer air
Rou•h Pl... MEW
ReliefWa rdves MINIM
ll Board
Ext. Porches
Finished Floor Wail
Interior Trim ;-
Stairs & Railin.s
Cellar Dr. Tile
Concrete Floors
P1•• . Fixtures
Gar. Fire•roofin•
Door Closers
Chimne
Water Meter Inst.
Se•tic A••roval
Floors
Insulation Foundation
Walls
Ceilin
Bui ing Inspector
REMARKS
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