1986-323 BUILDING' PERMIT
TOWN OF QUEENSBURY
No. 86-323
WARREN COUNTY, NEW YORK
(1. (JP -
PERMISSION is hereby granted to Beatrice Bevins
OWNER of property located at Corinth Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (screened porch)
at the above location in accordance to application together with plot plans and other information hereto filed and fir
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r•
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1. OWNER'S Address is
Corinth Road m
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same c�
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( 1 Steel ( ) 9
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7. PLANS and Specifications ~'
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No.
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8. Proposed Use
12'x18' per plot plan, specifications and application submitted.
as
$ 5 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 87
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (o
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 20th Day of June 19 86
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SIGNED BY 7-1
— .�y,` for the Town of Queensbury
Building and Zoning Inspector G ..
TO BE COMPLETED BY BLDG. DEPT.
_awn
No.
_Down of. Queenib/ur, Permit Issued 19 TOWN
, N OF U FNSDDP,,
BUILDING and ZONING DEPARTMENT Permit Expires 19 2
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation �r C
Queensbury, New York 12801 Variance No. _ [i]
_ ill
Site Plan Rev' No. JUN 1 6 ttJJ9 6
/ 5 Q _ / - `S Approved by• ' ' A.M.` �' 6-6 .4.
APPLICATION FOR 7,8l910)11jl2)i)213)4I 5 I6
BUILDING AND ZONING PERMIT • I. ko 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 indicated on the Permit.
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The owner of this property is: (nj h A T Yt ) c l7:._ O3 r t/ 1 Ill S '
P.O. Address 0 ? GL F- N S F/A i-S Tel.7 f - 4 G it 0
Property Location: C'_ u r. i N I )4 P I] Tax Map No./,.r0 / 1 / 13-
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.
Name of builder Address Tel.
Name of plumber Address Tel. .
Name of mason • Address Tel,
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
-.
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
y 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
Sc yeL—F_-R1 Po k2.e1$
* 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
* gf septic disposal area.
* . =
..*'COMPLETE INFORMATION' REQUIRED BELOW.
•' . * Size of property , ' ft X ft.
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* Existing building(s) Size "ft X ft.
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PROPOSED BUILDING AND USE:.''
• * Existing buildings) Use
Size of new structure /)_, ft X /'ft: * . ' . . ' . . ' ' ' . ..ui.t.''',v.fr v. SvAifiLtG -C'_A/4. 6-
Foundation-pier/40:4/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. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) . . ' * OCCUPANCY INFORMATION
*
No. of bedrooms
No. of bathrooms * PY BUILDING -
Primary heating system One .f,amily ,dwelling
Type of fuel * +Two 'family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
k- ermanent occupancy 5-vMML•4'LO;vL
Will a wood stove be installed? , . * ''a _
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 * C;I(2. •Pio x-G
ift-
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 / c$1
$ Y `7�
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS: SHEET, TO BE COMPLETED!
BUILDING PERMIT APPLICATION CONTINUED - •
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. W o6 0
. Will any. second-hand or ungraded lumber be used? If so, for what? /v,-
Foundation wall material • Thickness
Depth of foundation below grade (to bottom of footing) -
Will there be a cellar? Heated or unheated? Floor sq. footage 2 / 4 sq ft
Will there be a basement? Will any portion be used as living space? No
(If so, what portion? sq.ft. - - Type of use?
Type of roof - slop; /flat/shed/other • Material df. roof 5 H f i 4 G-L g' S
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing Ic. "o.c. span /2_ ft.
Joists (floor beams) 2nd. floor -,. "X r " spacing "o.c. span :,'•'r ft.
Overlays(ceiling beams) 2 "X -j " spading/9 "o.c. span ,'," `ft.
Roof rafters 2 "X L " spacing / G o.c. span 7 ft:.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish - - Of what material? ,f c-t2 E 4 N
Seter we F' h
rf a g rag- is to be—attached, describe materials to be used for FIRE SEPARATION:
T's' the're-to-be-an-eopeni_ng*between garage and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be :provided?
-Wrl fIaellueda-ehimney be installed? • Height above roof ft.
- Depth o'f-mtithrnrey-Foundation below grade ft.
Depth-of—firepta-c-emhearth ft. in.
Water-supply Mun-iod,palzor private well
--.SEPTIC SY=STEM.- -Djstance 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 A F F 'I D A V I T STATE OF NEW PORK
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,_area .truo and
complete statement of all. proposed work to be done on the described premises and that all
provisio s of the BUILDING CODE, THE ZONING. ORDINANCE, and all other laws pertaining to
the propo ed work shall be .complied with, whether specified or not, and that such work is
authorize by brie owner.
SWORN TO BEFO 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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By
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(.J.. ..ft.s,/..l."..„„n �i."..1..%.,..n.l..T.a.I 1%J.yS,.A4..,,k"..„,./...?�.)►i..1,1. ..a .��i:?...C.ti, t....i.".,_,i..1.n.l...1..1...?Ia%e.1..I,_.,".i."."."..1. _l e•l.R.i,?.i t i-.ai..1,!�ti 1.,.0..r\t_,....• ?;�
T THE NEW YORK BOARD. OF FIRE • UNDERWRITERS raGF 1.
e�c, 8017868 BUREAU OF ELECTRICITY• ..
': F 41 STATE"STREET.ALBANY.NEW YORK. 12207 :fr
Date NOVEMBER 05,1991 Application No.onfilq)r8:30891/91 U 414184 ;;. ,
THIS CERTIFIES THAT 4. ILO 2-.3
'i: only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
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''t'BE TRICE BEVINS; 428 CORNITH, RD: OUEENSBURY, N.Y.
n• in the following location; El BasementLot 1st Fl. ❑ 2nd Fl. OUT - Section Block ...
was examined on OCI'OBER 30:1991 and found to be in compliance with the requirements of this Board.
-M
FIXTURE I RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '' 3
j, OUTLETS ECEPTACLES SWITCHES
INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. •.
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,P , - :;
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DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BEu UNIT HEATERS MULTI-OUTLET DIMMERS ,:P EI
IIt 1: AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. • AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 'SYSTEMS e -PP
-t,
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►; SERVICE DISCONNECT NO.OF S E R V • .1 C E
• AMT. AMP. TYPE EMQEU�9 1,B'2W 1 a 3W 3 if 3W 3,e 4W NO.OFF C CirCOND. OF cC.cOND.. NO.OF HI-LEG OP HI--LEG NO.OF NEUTRALS NEU NAL ',ili
6.0
• 1 150 CB 1 N 1 2/0 1 1/0 •
• OTHER APPARATUS: '
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BEaTRICE BEVINS
CORNITH ROAD BRANCH MANAGER
4; QUEENSBURV, NY: 12804 239 ,
1. -4: Per
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. :
ci-ie iA Yif'i.t iii-ifcisi-le-ielii isi-4i'ie-ciel[e-4-r iele7c4i—; fi'elaYYA ® II Mr 0 0 0 ® ti ® ® 0 '• ..+I
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
_town of Qucen.:ilur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ` S REPORT
NAME
LOCATION 1 `
Date 2/ Permit P No. %''3a3
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
4raming /2R._
Roofing
Siding
Masonry Veneer
Rough Plumb'ng
7
Relief Valve,
Ext. Porches
Finished Floors NN
Interior Trim N. /
Stairs & Railings
Cellar Drain Tile
Concrete Floors �.
Plbg. Fixtures
Gar.. Fireproofing N.
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls •
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
./14.77ak.--)
uilding Inspector
6/86 and-vl
q'►i 2.-�AY�
(Az_.\\-36
Jown of Queenit4ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAMEN, _ @EVI'L S
t7
LOCATION COr.R ‘Rd
Date I a\ / &D Permit No. SG -39,3
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill 7 /}
N4 Framing ccf ) •---
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar.. Fireproofing / ,`
Door Closers
Smoke Detectors
Chimney ;'/ \
INSULATION: %
Foundation
Floors
Walls /
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - 17
O-yu 6/2,„„..o /JA,ve
- .47)
W YO, i94/
Building Inspector
6/86 and-vl
L i�l 1'�Igo u Wi -ust s r'
ffwnao CL,o5Q— 12c�!►-� Af—
� TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 6/rsv“
Name JAG—izi At;—
Location (6 rz i,v c-i41?
Permit No. Sr L — 3 2 3 Weather
Remarks
Excavation
Footing Forms L7 - jhdi9l u�S
Footing & Piers -),(1,1(
Foundation �, rmve- .�
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation . Foundation
Walls
Ceiling
C/074) 1721
Building Inspector
REMARKS
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