1986-422 BUILDING PERMIT
TOWN OF QUEENSBURY No 86-422
WARREN COUNTY, NEW YORK
PE SIO is here y grant to Paul Curtis
M S
OWNER of property located at 34 Sunset DrVA
ive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Garden Shed
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 34 Sunset Drive
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood.Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
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10'x12' per plot, specifications and application submitted.
No. Gi.
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8. Proposed Use co
Garden Shed ro
$ 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
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 24th Day of July 19 86
SIGNED BY `-d > for the Town of Queensbury
Building and Zoning Inspector ly
TO BE COMPLETED BY BLDG. DEPT. •
gown
Application No.
_D of Quceniurtj Permit Issued 19 TOWN OF QUEENSBURY
BUILDING and ZONING DEPARTMENT Permit Expires 19 R
;ECE �
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation u
VEED
Queensbury, New York.12801 Variance No. �,.��
// Site Plan Review i'` / . JUL 18 1986
ed
I l7 Li
Approved by: _� A.M. �� did Fes{,P M. .
71819110)1.1)12)1)218141516
APPLICATION FOR
O 8 OE 4 E 8 a 8 a a
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BUILDING AND ZONING PERMIT
. * * * * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * *i:.*
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. .
t
The owner of this property is: ,/h IL (lam,[7-S
, Tel. 7 �P.O. Address
Property Location:. 15lihl 't 7 2 / Tax Map No. J7' / / / (, . ' .
Street number or buildi g lot number
Subdivision name (if applicable) /�
G
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder ZI/A:0_ 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,
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 andFindicate all
x Other work (describe) * set-back dimensions from property lines. Give
,4 Piii-cF. 0." op &her)ems/ S%f-F tb, * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot._ Show location
of water supply and location and configuration
LOCATION OF STRUCTURES'AFFECTED. * of septic disposal area.,
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of.property ' / 5- ft X -S t.
. * Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: • * Existing building(s) Use
Size of new strut re /O ft X///ft * '
Foundation-pie slab ravel/partial/full * Proposed building, distance from property line
(circle one) *
�/ * Front yard " " ft Rear yard ft
No. of stories (habitable space) p7' * 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) . d/ * OCCUPANCY INFORMATION
No. of bedrooms *
No. of bathrooms * PRIMARY BUILDING -
Primary heating system . One family dwelling
/� * Two family dwelling
Type of fuel
No. of fireplaces to be insf lled /VT, * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? �* Transient occupancy
Business
BUILDING STYLE, PRIMARY STRUCTURE J/fr * Industrial
Ranch Contemporary Log cabin * _ Other. '
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
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
/6PLfd6,,ii NT OP $ •: &O '- /oo
INF RMA IOr ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!,
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED - �, J
BUILDING SPECIFICATIONS: kf,p/g,cirkt
�. ! of
Type of construction; wood frame, fire safe,etc. -11-
Will any second-hand or ungraded lumber be used? If so, for at? // C7
Foundation wall material / � Thickness
Depth of foundation below grade (to bottom of footing) •
Will there be a cellar? Heated or unheated? /&/a A6A Ploor sq. footage /AO sq ft
Will there be a basement? lill any portion be used as living space?
(If so, what portion? s• t. - - Type of use?
Type of roof - sloped/flat/all/other Material.'of roof. &' i2, ,,,,,/
Size, wood studs `— "X " spacing .* "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. 5G
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. /
Overlays(ceiling beams) -"X , " spacing "o.c. span ft. •
Roof rafters
2,- "X • " spacing '' o.c. span /0---ft.
Roof trusses(pre-engi (eered) spacing "o.c. span ft.
Exterior wall finish 1.4 /-// Of what material? pl
Interior wall finish / ,14(.
If a garage is to be attar ed, describe" materials to .- used for FIRE SEPARATION:
Is there to be an opening between garage and dw, fling? If so will a Fire-rated
door, enclosure, and self-closing device be 'p vided?
Will a flue-lined chimney be installed? eight above roof ft.
Depth of chimney foundation below grade f .
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well 'ncluding adjoining properties ft. .
(A separate application is necessary for any epair or ne ' .s-ta-llation of septic system)
Town of Oneensbury A F F .I V I T STATE OF NEW YORK
County of Warren
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.'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 doneon 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 TO BEFORE ME THIS Signature_0 er, owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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