1986-344 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-344
WARREN COUNTY, NEW YORK 309
,9-1 -SS
PERMISSION is hereby granted to Samuel Wells
OWNER of property located at Illinois Avenue Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Storage Building G
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 P. 0. Box 184 RD #4
Glens Falls, New York
2. CONTRACTOR or BUI LDER'S Name
Owen Fish
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name N•
Cl)
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5. ARCHITECT'S Address rroo
6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 12'x16' per plot, specifications and application submitted.
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8. Proposed Use
Storage Building
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$ 10.00 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
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 24th Day of June 19 86
SIGNED BY 74L a- for the Town of Queensbury
Building and Zoning Inspector
// TO BE COMPLETED BY BLDG. DEPT.
Queendburu pplication No, r � � �A IC VIIN OF QHENSB.U_wn Of4 -1
Permit Issued 19 i D' j II ?� � ftjj
BUILDING and ZONING DEPARTMENT Permit Ex ires 19
Bay and Haviland Road, R.D. 1 Boy. a., Zoning Designation 5' [A! �� ;: `�
Queensbury, New York 12801 • Variance No. Rq.$ }' 0 '.- ` ,�
Site Pla Review No. ; ;y;. (0- %L- �44. `°
. I al ~� ~t J ( 1\ I Approv b 2 91100.112)1121314516
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APPLICATION FOR V i `r,./4 ` NO 6-4Q
•
BUILDING AND ZONING PERMIT J
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:>*
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 X ,10 j�,y,,,„� /,O /1 AD
Address \( ,j_ t_ L/A10i0S /J-1 P() 1as X.-<.1' e.10 q ,,,-
P.O. Tel. / �S-R ??
Property Location: t� a.%( le`R Sri( r ,EMI 1. < 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:
0 wo_ i 12sA
Name P.O. Address Tel. No.
Name of builder • -CA-1')'1 6' Address Tel. 6 3.2 $4 6 Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED W3RK: * ZONING INFORMATION: .
k 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 / 7„._-C) ft X ).ft.
* Existing building(s) Size ) _ft X '> - ft.
*
PROPOSED BUILDING AND USE:
* Existing building (s) 'Use GRirrt ,6.Md'6
Size of new structure IL- ft X � ft * " " ' • : ' • '
FoundationCpie yslab/crawl/partial/full * Proposed building, distance from property line
(circle one)
No. of s, ories (habitable space) * Front yard g ft Rear yard ZO -� ft
Height (grade to ridge) ft. * Side yards C� ft and g"C ft
If residential no. of fami�,ids * If on corner, setback from side street ft
No. of rooms(exc'k uding) tyhs) * OCCUPANCY INFORMATION
No. of bedrooms *
No. of bathrooms * PRIMII ,BUILDING
Primary heating /system N... * ne family dwelling
Type of fuel f '�*•. * Two family dwelling
No, of fireplaces to be instS1, ed * Multiple dwelling / Number of units
Will a wo- stove be installed? * Permanent occupancy
Centra Air conditioning? �y * 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 • * • ,'57— LZ_i .
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House , * ' Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * 7--Attached garage/one car/ two car/ car
* * * * * * * * * * . * * * * * * * * .
(Private storage building
ESTIMATED MARKET VALUE OF * ' Other
CONSTRUCTION $ l 0 �o *
• P
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BFi1 /fl. m.i-v1
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: IV
/'
Type of construction, wood frame, .fire safe,etc. I VO p y) J�YC4-At
Will any second-hand or ungraded lumber be used? If so, for what? 4J
Foundation wall material , Cc� iCx &r --- Thickness �{ ItC,117 Bj LQ=E/1.1
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? --.—Heajri _or unheated? Floor sq. footage sq ft
Will there be a basement?- Will any portion be used as living space?
(If so, what portion? ----.__.sq_._ft. - - Type of use?
Type of roof -(sloped/flat/shed/other Material. of roof
Size, wood studs ' "X 61" spacing 4 "o.c. length 7 ft.
Joists(floor beams) 1st. floor 2 "x ( " 'spacing /C, "o.c. span -ft.
Joists (floor-heamsa 2nd. fl or 1, g
.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roef- re-f=ters ' "X " spacing o.c. span . ft.
Roof trusses --�- td) spacing -Z.,C "o.c. span ft. -2._k 4_ 12L4 {2'v-3S'46--T-5
Exterior wall finish Of what material? /.--L_um by-kick- P'1 01/fif..
Interior wall finish' - _________ 7///n Af-v /r2,-01
If a garage is to be attached-,-descr-ibe-ma-terial s to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelliin ?�.� If so will a Fire- ated�
door, enclosure, and self-closing device be provi�"ed?
Will a flue-lined chimney be installed?.-^`--- Heig1Zt above roof �- ft.
Depth of chimney foundation below-gar de ft. •
Depth of fireplace hearth-,----ft. in.
Water supply - Municipal or private well
SEPTIC SYSTEM--_ Distance from ANY private we_11-(including adjoining properties ft.
(A seeppar-ate application is necessary for•any repair or new installation of septic system)
Town of f Warren AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that to the best of my knowledge and belief the statements contained
in thi q application, to ether with the plans and specifications submitted, are a true_ and
completestatement of ail proposed work to be done on the described premises and that all
provisic s of the By LDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the prop ed work ghall be complied with, whether specified or not, and that such work is
authorized by th owner. '
SWORN TO BEF"O ME THIS
Signature ,r 1 �'2,fe.1&2
Owner, owner's agent,arcnitect,contractor
da of 19
Notary/Public, Wa ren County, N.Y.
* * * * * * * * * * * * * * * * * *• * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
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