1986-462 •
CERTIFICATE OF OCCUPANCY
• TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
n r
This is to certifythat work requested tobe done as' shown byPermit No. 86-462
Q
has been completed.
This structure may be occupied as a Dormer addition to one family. dwelling
Lljo
Location
H,.watt—Pee•ati-• E5t— rZOL
Owner • - V David and Louise Hull
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-462
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to David and Louise Hull
OWNER of property located at Hewitt Road Street, Road or Ave.
t7
in the Town of Queensbury,To Construct or place a Alteration to dwelling (dormer)
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.
a.
1. OWNER'S Address is RD #1 Box 295
Glens Falls,- New York
cn
2. CONTRACTOR or BUILDER'S Name
Bill McCoy
3. CONTRACTOR or BUILDER'S Address
RD #1
Lake George, New York
4. ARCHITECT'S Name
r+
rt
5. ARCHITECT'S Address 0
a.
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
dormer for additional living area per specifications and application
No. rt
CD
ri
w
8. Proposed Use 'rt
N•
0
One-Family Dwelling (dormer added)
rt.
$5.00 C/O
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 87 rip
(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.) cry
Dated at the Town of Queensbury this 30th Day of July 19 86
SIGNED BY 4.,e u Q 4.,t67-`, for the Town of Queensbury
Building and Zoning Inspector 2
TO BE COMPLETED BY BLDG. DEPT.
Application No.
own o Queen it ury Permit Issued 19 TOWN OF QI,UEENSBUD"
BUILDING and ZONING DEPARTMENT Permit Expires 19 E l�((� l
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation l� V
Queensbury, New York 12801 Variance No. 2 9 986
Site Plan Review No. � ,D,
Pee__ a{
J / a Approved by: 7181911010 I I•),iti i
APPLICATION FOR 1v'n
BUILDING ANDZONING 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: /9aui c.) C c ji,e a,1• /9(JJ/
P.O. Address f ,ix 2 9r /,/e s 28-orel. 7i3-1/fy3
Property Location: Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLEE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
45 !/L /�G Ce y (,�e./ 2 e- :7 Ua C� ��v.-<S �cr/A-- /1/ Y/ ) 272-
Name P.O. Address Tel. No.
Name of builder /2r /f �Cd Address ((P,j/f,/c ''o,rJ 676- 5 /;//rApd,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 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 ft X ft.
* Existing building(s) Size 9$' ft X 3(., ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use Z91,..Je...l T,1
Size of new structure /G ft X 3,2 ft *
Foundation-pier/slab/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 residential, no. of families Fj;,yL * If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms o y,y *
No. of bathrooms * PRIIMARY BUILDING Primary -
heatingsystem * i/ One family dwelling
Y 1�07- ')� Y * Two family dwelling
Type of fuel Fu e_ \ (1%
No. of fireplaces to be installed 0 Multiple dwelling / Number of units
Will a wood stove be installed? /v'0 * Permanent occupancy
Central Air conditioning? /J o * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin * Other." 0 V r++ e.�.
* If addition, what will use be. ?9 1(1, l-lo-a./ eer�rdo
Raised ranch Mansion Duplex //
* "/ru C r t'i9S cs . �t-1,r ov— .S Z-e
8 lit level Old style Bungalow
CapeCod) 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
$ co
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS:
Type of construction; wood frame, fire safe,etc. i';-
Will any second-hand or ungraded lumber be used? If so, for w at? , JD
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footings i�� ,
Will there be a cellar? No Heated or unheated? /./..,,63�/ Floor sq. footage sq ft
Will there be a basement? y1 Will any portion be used as living space? o,. ,,,,r,, , s�z�
(If so, what portion?/0,39"-- sq.ft. - - Type of use? pt•YZ-Jt. 00,E
Type of roof - sloped/flat/shed/other Material, of roof 6/,,, , f ,� -
Size, wood studs a "X L/ " spacing / "o.c. length . ft. I
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor �y� "X " spacing /t "o.c. span /4: ft.
Overlays(ceiling beams) Z "X S' " spacing /6 "o.c. span /6 ft.
Roof rafters Z "X " spacing /( o.c. span /G ft'.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish °1 ` ' ,y ,�J" ,,.,�9f what material? (' ej,f,/,
Interior wall finish %. s r
kPe" ,'�ec
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? //'49 If so will a Fire-rated
door, enclosure, and self-closing device be provided?Will a flue-lined chimney be installed? A/z) Height above roof ft.
Depth of chimney foundation below grade —, ft.
Depth of fireplace hearth -eft. in.
Water supply - Municipal or private well
SEPTIC SYSTEM Distance 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 AFFIDAVIT STATE OF NEW YORK
County of WarKpn
-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 jlertaining to
the proposed work shall be complied with, whether specified or not, and that such work is
- authorized -by the-owner-. -- -- L
— -
/1
1) q,
SWORN TO BEFORE ME THIS Signature e / �
Owner, owner's agent,arcniLect,contrac:tor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
By � ' _.
. ,
i 0 1 e
j 0 - 1
._
,(2
I
N-1 Aim l'! eriP
illv _, eis'" •ict,c,qt- , - • I-4/,mil, -----
/
I" / ry- . . .,/ —
/-
.. ' \\N\
_II
V i
i&
• if 0, C.-• /,
f
,
,.,
t . \
Jp I . , :• :-'.'- • .
A
) ./. 1 N.
N,,...
; i ....
...,,.
,,
4, p p p (.11)V E D .... ..
!. ,,
i $ ... i ...1
1
DATED—V/ 7/
...I .,.
,,c"."I ,/:
• IN
BUILDING edi ZONINGNIsTripEyCTOR
TON. OF (NE,. ,
. I! -
•
,,,,L,'.'.:'''' ,, ,--• i-cf.,..`?.'..e .---
" I/ •'.‘ 1.-c-If)d, 1"-u• .- '
14 41.
-; , ' '.7 ..c.1 ( ),I.'..; ,,,) 4,1 f.f:e,.-• 4 0,----
) - • -
•
l
i 6 " 1 f
, ,,, 1 0 .1„/„., m
ir. . i
'
., 4,i 0 e5 y) 1...---',•_'.)(/S.'
.......-... ................-•....--...-,---,--..._. - .- - .-.--,....--------..- ---.-....._-.....-..---,,.„-,-.-... .-
I
t t I
i ,
; :
i 1 I F
i 1
i
t 11 .1
1
41105 '
1
1 a
----"---•- • 'j 1
E 1
1._ i
'- ' • i
/•
/ <1.1........ R1'0,1•1• i...,1'ce'v---/ i .....---2