1986-384 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-384
n ` � WARREN COUNTY, NEW YORK
(.;. -, LePERMISSION is herebygranted to o(
ndLry Blackmon x
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OWNER of property located at J7 Assembly Point Road/Lake George Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a Two—Car Detached Garage
at the above location in accordance to application together with plot plans and other information hereto filed and r
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is RR #1 Box 1256
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
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Percy Denton Q
3. CONTRACTOR or BUILDER'S Address rd
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Star Route
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Glens Falls, New York
4. ARCHITECT'S Name w
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5. ARCHITECT'S Address G�
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en
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 24'x24' per plot plan, specifications and application submitted E
and Variance No. 1021 granted Sept. 18, 1985. 0
8. Proposed Use n
Two—Car Detached Garage
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 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 n
town of Queensbury before the expiration date.) w
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Dated at the Town of Queensbury this 8th Day of July 19 86
SIGNED BY 7)(0.4 a, / e • - for the Town of Queensbury
Building and Zoning Inspector
Tb DR OOMf'Lk 1,Y fLDG. RAPT.
'�/ Application No.
Jotvn o)9 Queen9iurty Permit Issued 19 TOWN OF QUEENSBURY
BUILDING and ZONING DEPARTMENT Permit Expires 19 ffBay and Haviland Road, R.D. 1 Box -, Zoning Designation , ! CEIIVE
Queensbury, New York 12801 Variance No. j o�.1 di NI i;� � �_.,
3 Site - Review No. JUL 3 1986
�� Appr ed y: _ A.M. 'Q`/" &M.
6
APPLICATION FOR ,A 7f 8l9`i0�11�1• i l •1 3), , .
4 IO 610}5
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 Permit.
The owner of this property is: /4/ON oit.-, & /AL71AJ1 —1. 2 Lf C (C p4 oil
P.O. Address i.c)R/ Box nn ox /2-56 Z!/c 1 O f\c E� / fJ//% /: 7 i& Tel. C.--Cb-51b 4
Property Location: /-5 n -r, 1'0( L P r)A-Y - 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:
•Ent i O n{ �on� 1 �I o�3 STAR Ro U t >° Fi) L_I Al G S" -r
1 -7/
Name P.O. Address Tel. No.
Name of builder PE-Re :DE/0-Toll Address If Tel. I
Name of 1) Address 1 / Tel. II
Name of mason PER / pE5o i D,CJ Address A Tel. 0
NATURE OF PROPOSED WORK: * ZONING INFORMATION: -
Xf. 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
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 ig'I'( ft X W/3 ft.
O * Existing building(s) Size 50 ft X S`p ft.
* (3LU&LLi,ri6 .
PROPOSED BUILDING AND USE: * Existing building(s) 'Use '
Size of new structure 247- ft X: L ft * • ' ' ' ' ' ' ' . ' ' -(-0.11A: e, 6' S ie(0.
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) * Front ' 66
No. of stories (habitable space) * yard ' , ft Rear yard / ft
Height (grade to ridge) ft. * Side yards / I ft and U ° ft
If residential, no. of families * If on- corner, setback from side street ft
No. of rooms(excluding baths) ' * OCCUPANCY INFORMATION `
No. of bedrooms *
No. of bathrooms * PRIMARY BUILDING -
Primary heating system * ''One family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Log cabin * If addition, What will use be?
Raised ranch Mansion Duplex . . •�. ���
Split level Old style Bungalow * l�-"
Cape Cod Cottage Other) * ACCEgSORY BUILDING-
Colonial Row Town House * ' Detached garage/one car/ wo 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!
Form BFA 4/8 . m,l-vi
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. . VJva-i FRp►-AYE.
Will any second-hand or ungraded lumber be used? If so, for what? ,Jo
Foundation wall material Cp ti c a4,--,-6- • Thickness `"
Depth of foundation below grade (to bottom of footings 41 "
Will there be a cellar?-!Heated or unheated? Floor sq. footage sq ft
Will there be a basement? - Will any portion be used as living space? ---i
(If so, what portion? —q.ft. - - Type of use?
Type of roof - slope flat/shed/other Material•'of roof /11,&-'r4-( —
Size, wood studs Z "X L( " spacing /(n "o.c. length T ft.
Joists(floor beams) 1st. floor—=- X_--�' spacing "o-.c, spaan-p ft> . •
Joists (floor beams) 2nd. floor---- "X ,;'--spdo—g ,_- span ___..1.•ft.
Overlays(ceiling beams•)'__.-- "X .y—" spacing _.-xc c. spap'ft.—
Roof rafters "X " spacing o.c. span _ft.
Roof ,trusses(-pre-engineered) - spacing "o.c. span ft.
Exterior wall finish '- (( I Of what material? P2.CIA/n O n Qf (,/)--fie
Interior wall finish i(/O,r
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between---garage and dwell' gam- If so will ,a-'ire-rated
door, enclosure, . and sellff-closing device be �r ided? ..- .r
Will a flue-lined chimfiey be installed? Height above roo ft. /`
Depth of chimney oundation below_sr de ft.
Depth of fire race hearth f.t� in.
Water sup - Municipal orivate well
SEPTI YSTEM _ Distance fromANY private well(including adjoining„yroperties ft.
(A eparate application is necessary for any repair or new instalflation of septic system)
Town of Queensbu.ry AFFIDAVIT• County of Warren STATE OF NEW YORK
I sw`pear 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 B ILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed\wor shall be complied with, whether specified or not, and that such work is
authorized by t e owner.
SWORN TO B• - ` ME THIS Signature ry, Zdk& __ .e.? C464-e---)
/
• -r •wne 's ayent,arcnitect,contractor
,say of 19
/
Notary Public, Warren County, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
o
_own of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
9
BUILDING INSPECTOR ' S REPORT
NAME ��
LOCATION �A
Date ,2y /_�(Q Permit No.Sto-3 k
* * * *° * * * * * * * * * * * * * * * * * * *
APPROVED - YES / NO
(/Footing/Pier Forms 5/f-a rRK
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
! gs •
.
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- - ff ''L,e�
1/A//,73,A./a )
Building Inspector
6/86 and-vl
• gown of Queeniturcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 13_14c Q
LOCATION
•
Date -/ ' Permit No. 4l0 -,67
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms .
Foundation
Waterproofing
�ackfill 0j;:-
Framing
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 I
INSULATION: i
Foundation
Floors
Walls •
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled �Inspection(call when ready)
Remarks- - / _ /�
/1A-1t;;2) ,
Buildi Inspector
6/86 and-vl
_town of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME - _4 Jk
LOCATION J 4(.
Date7/? / �4 Permit o. 0 t, - ,3 PLi
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES NO
Footing/Pier Forms 0,
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trimc\
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- -
W/113d4Aq;Fidr)
Building Inspector
6/86 and-vl
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