1986-499 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-499
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thomas and Linda Murphy
OWNER of property located at Si Stephanie Lane Street,Road or Ave.
Addition to dwelling (porch/deck) 1-3
in the Town of Queensbury,To Construct or place a o
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. c'
1. OWNER'S Address is RD #4 Box 42 a'
29 Stephanie Lane N
Glens Falls, New York 0
2. CONTRACTOR or BUILDER'S Name
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David Winkle
3. CONTRACTOR or BUILDER'S Address
51 Hopeful Lane
Gansevoort, NY
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X1 0
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( I Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
No.
12'x12' screen porch and 12'x15' deck per plot, specifications
and application submitted.
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8. Proposed Use 0 H.
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One—Family Dwelling (addition for porch and deck)
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 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.) H.
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Dated at the Town of Queensbury this 18th Day of August 19 86
SIGNED BY 7116a 4, 4 for the Town of Queensbury
Building and Zoning Inspector g
TO BE COMPLETED BY BLDG. DEPT.
. c� // Application No.
awn of Queeniurij Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 'i TOWN OF ouE_:,, A,z\-,r�.
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation IIREGL '6 $
,tQueensbury, New York 12801 Variance No. )
Site Plan Review No. !.- .1
1 1-Alm
Approved by:�
1 AUG z 6 1�0
APPLICATION FOR t(/y /L( 2 9) A.M. I- „
71819110)11)141121 r
� E R
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * * * * it.. * * * * * * # # # # #
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: .2:7 4s 4- LA/VOW / /a,' A%')''
P.O. Address ?-7- ,/04 L/ a)c y'2 2S' io6/�¢/v/.c L�sv. Tel. �93-76.?7
Property Locatio : G�/amvS /`/ELLS yy /2A,/ Tax Map No. ia6,/ 3 //s_r
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
I7Av i r") / 0.1 to 1G:._s_ 61 HOPEF)J-l-/J a pigs-Cuoor iU y .. 5 q '3C319
Name P.O. Address Tel. No.
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Name of builder 24ll>J Li J!&L.� Address() (4OPERJL yj\ 6'r4;L,,cuooa Tel -30 j
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
'5G1Zgc7U a/LCM . * 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 /OCJ ft X /70 ' ft.
* Existing building(s) Size S r ft X :15'' ft.
*
PROPOSED BUILDING AND USE: x
/3 * Existing building(s) Use
Size of new structure /2_ ft X /Z ft *
Foundation erJfslab/crawl/partial/full * Proposed building, distance from property line
(circle one) *
* Front yard /D ft Rear yard ,40 ' ft
No. of stories (habitable space) /
* Side yards tic i ft and go 1 ft
Height (grade to ridge) / 2- ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) ,/ * OCCUPANCY INFORMATION
No. of bedrooms 9 *
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 * Other
Rai�� ranch Mansion Duplex * If addition, what will use be? -‹C/ZEElc1 ,oa,0,1
S lit lever 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 *
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. W O O D
Will any second-hand or ungraded lumber be used? If so, for what? / J
Foundation wall material �;� +u C2�r F Thickness 'r
Depth of foundation below grade (to bottom of footing)Thickness,( ��
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?
(If so, what portion? sq.ft. - - Type of use?
Type of roof s(lopec�� flat/shed/other Material of roof
�i�A4.i '��SfN�'GCS
Size, wood studs — "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor Z"X " spacing 4.o c. span f ' ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters Z, "X P72,. " spacing /4, o.c. span /GI ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish SGe—c�I0/L; Of what material?
Interior wall finish
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? If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. 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 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, 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 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___ L10. L J7/12-9. ---
Owner, owner's agent,architect,contractor
1 day of • 190
Notary Public; Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By ULrld/r3
.own o f Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION
Date b/iy / n(� Permit No.* * * * * * * * * * * * * * * * * * * * * *
V = APPROVED -ArF,S_ / NO
VFooting/Pier Forms ti-Ar4\
Foundation
Waterproofing
Backfill
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
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
W'' 1
Building Inspector
6/86 and-vl
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