1986-514 BUILDING PERMIT
TOWN OF QUEENSBURY No 86-514
/ /�G WARREN COUNTY, NEW YORK
•
PERMISSION is hereby granted to Robert and Brenda Roy
OWNER of property located at 6 Cedarwood Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (deck)
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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. r
1. OWNER'S Address is 6 Cedarwood Drive
Glens Falls, New York bd
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2. CONTRACTOR or BUILDER'S Name
same o
3. CONTRACTOR or BUILDER'S Address
same
4. ARCHITECT'S Name • 0'
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )i Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 12'x20' per plot plan, specifications and application submitted. a
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8. Proposed Use 0
Addition to dwelling (deck) �+
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$ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 87 H.
(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.)
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Dated at the Town of Queensbury this 26th Day of August 19 86
SIGNED BY //( for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.
Application No.
Jotun of Queenahuri8, Permit Issued 19 _
B6$LDING and ZONING DEPARTMENT Permit Expires 19 ‘Al�! ��!' QUE NS L Y
Bayand Haviland Road, R.D. 1 Box 98 ZoningDesignation r41) !t - tiL g ,E �. ., i. ,--;
Queensbury, New York 12801 Variance No.
Site Plan Review No. _ ' � _eiiii f 2. 1986
(9 / �� ,
Approved by: ;�.€ ' �=2 iv1.
APPLICATION FOR / dv"� /1 I)"
%'4 "- 71 WA 6 6 � I
BUILDING AND ZONING PERMIT U
* * * * * * .* * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * :*
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.
A.
The owner of this property is: /Z 7en-/ W. Y ' " 9 7: 7?v
P.O. Address 0/ 40,P 7 j/2 (j GGi J �J}- - / Tel. 79.E aJ?9
Property Location: c ' G G ' e.-4/0-0 ,22. Tax Map No. / /
Street number or building lot number •
Subdivision name (if applicable) /W/ G% ,'
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
01.✓/-Y2
Name -�n/ P.O. Address Tel. No.
Name of builder e2/,,//(/ 1"�- Address Tel.
Name of plumber , , Address Tel.
Name of mason /1 Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
k 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 diaucnsicns)- - - 1. whother exist-ing_o_r_nroposed_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
LOC/4 .N OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property //e ft X 4(7) ft.
* Existing building(s) Size'7 V ft X 'Z y ft.
PROPOSED BUILDING AND USE: building (s) / Ef/iPL'�/Tr//tz-
* Existing Use . ?.
Size of new structure /Z ft 'X ZOft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) t�p
*• Front yard ' D • ft Rear yard S O ft
No. of stories (habitable space) �j� * Side yards �+."SQ ft and 31} ' ft
Height (grade to ridge) 2b c
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 * Other ?
Raised ranch Mansion Duplex * If addition, what will use be.
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonia Row i 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 y� ��d *
1
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
- Form BPA 4/86 and-vl '
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BUILDING PERMIT APPLICATION CONTINUED - •
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. Wist)I2 ,filfr"
Will any second-hand or ungraded lumber be used? If so, for 'what? /V.0
Foundation wall material / Y2YL 2
ft 7G /2Thickness
Depth of foundation below rade (to bottom of footing) -� �fi . /�'/,
. 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 - sloped/flat/shed/other ,%v Material. of roof
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor 2 "X " spacing 2 y "o.c. span 6 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish 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
aI 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
Owner, owner's agent,ar itect,contractor
day of 19
•
Notary Public, •Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
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