1986-542 BUILDING PERMIT
TOWN OF QUEENSBURY No 86-542
WARREN COUNTY, NEW YORK
PER MISSIO is here Y grant to �im Bly
OWNER of property located at 10 River St. (West Glens Falls) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Two—Car Attached Garage
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. 0'.
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1. OWNER'S Address is 10 River St. ~'
Glens Falls, N ew York
2. CONTRACTOR or BUI LDER'S Name
Lamplighter Homes
3. CONTRACTOR or BUILDER'S Address
O
RD #2
Fort Edward, New York
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4. ARCHITECT'S Name vn
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5. ARCHITECT'S Address co
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6. TYPE of Construction—(Please indicate by X)
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(x I Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications
No. 24'x24' two—car attached garage per plot plan, specifications
and application submitted.
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8. Proposed Use o
Two—Car Attached Garage (see permit 86-284 for dwelling) n
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 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.)
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Dated at the Town of Queensbury this 5th Day of September 19 86
SIGNED BY a' 4- for the Town of Queensbury
Building and Zoning I nspecto
TO BE COMPLETED BY BLDG. DEPT.
•. Application No.
-own o/ Queen9U/ury Permit Issued 19
TOWN OF QUE'ENSBURY
BUILDING and ZONING DEPARTMENT Permit Expires 19 (� `� ��
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation U R-la P,1,1
L� 3 Ia " r 115Queensbury, New York 12801 Variance No. LIU ;
Site Plan Review No.
AUG a 2
1 U I
3 / v G Z. Approved by: , a.a9. / 0 00 �� U F'.f�vi.
APPLICATION FOR /'. • , , , ,��� )� � �� �� � �
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.
The owner of this property is: h , 91 ly
P.O. Address /0 TZ t 0 P tL S(.0 P '/ (4 C. F Tel. 9: 91 do 6e(
Property Location: /t) d2, J e 2 S.'7'4 e e 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:
�I-/. `147'1 it /A,n,e, f JZ - P , i 6cLJNiLcf A.) , 7 2 r -" .-7
Name P.O. Address Tel. No.
.- 'Name of; builder 1/4.0(P(, G //hex` Address f¢,) J J •+l Tel. j42 h 4'4/ ,'
Name of plumber f,f i-) ;.,_.`P Address Tel.
Name of mason'? 1/inq";L Address Tel..
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a 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
• -2 • C tO I'L ,4 7A crl, .p c( 64,2 G r`' * street and number or lot number and indicate
* whether interior or corner lot. Show location
'''FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
• * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /6 ft X ,3 5-3 ft.
* Existing building(s) Size to ft X `fc ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use,, 6( e /^/}pk, 1,1 '1);.oef/n G
Size of new structure o�k ft X - ft
•qundation-pier lab/crawl/partial/full * Proposed building, distance from property line
*
(circle one)
* Front yard ft Rear yard lC '7 ft
No, of stories (habitable space)
* Side yards S`e; �ft and / � ft
�/+' ft.
Height (grade to ridge) * If on corner, setback from side street ft
If residential, no. of families
No.,;,_of rooms(excluding baths) ;�/,� * OCCUPANCY INFORMATION
No. of bedrooms In'
*
* PRIMARY BUILDING -
No. of bathrooms / " * One family dwelling
Primary heating system �,1� * Two family dwelling
Type of fuel / - * Multiple dwelling / Number of units
No. of fireplaces to be instaled d✓/A Permanent occupancy
Will a wood stove be installed? ,.✓// * eTransient. occupancy
* Tn si
Central Air conditioning? Nf * ri-aansien
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* Other ,/ �e.a_ 4. 7-ac.k� cj ( PE-2AC
Raney Contemporary Log cabin If addition, what will use be?
*
Raised ranch Mansion Duplex
—
Split level Old style Bungalow *
Cape Cod coftactr- nt-11( , w': aril I.nlNC--
•
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. OD c F' .4 ;k
Will any second-hand or ungraded lumber be used? If so, for what? J
•
Foundation wall material L Thickness �%" .f '
Depth of foundation below grade (to bottom of footing) 7
Will -there be a cellar?,V-v 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 - ope %flat/shed/other Material of roof p(7- ,,,)a., _ G f .& s
Size, wood studs X spacing /6 "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X 7' " spacing y "o.c. span y ft.
Roof rafters (,)._ "X " spacing l cy o.c. span 2 'V ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish $ L� c,k. C Of what material? '/ ,✓ •
Interior wall finish - /•-.446
If a garage is to be attached,. describe materialsJ to be used`for FIRE SEPARATION:
a 'P 2)2. d !� > 44; fa,I G (f:. '' �Z/�` lO�r..t, fre-e f A e2 c 6C.r
Is there to be an opening between garage and dwelling?.Lt. , If so will a Fire-rated .
door, enclosure, and self-closing device be provided? �?J'
Will a flue-lined chimney be installed? Height above roof .ft.
Depth of chimney foundation below grade • -ft. - •
Depth of fireplace hearth ' ft. An.
Water supply - Municipal or private well a,/i/
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__ _ •�L ' �
0agent,ar en�tect contfactor
-,
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS •OF THE PERMIT:
/O /27c�(� `- 2 ' �/s r� ��, .
_/own of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME /6 m 3 �y
LOCATION lo
p s GUC�
Date 1o/a3/�� Permit No. t S Tom,
* * * * * * * * * * * * * * * * * * * * * * *
d = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill /,
Framing 9 uY q S V
Roofing �j CA6i_�� r�
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings _
Cellar Drain Tile
Concrete Floors / a
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Y4/4/IA)G Q K -
Sg-t-_1 YLdc/.[ riL N_c7GCIA/6-0/L
DCCD YL/i i'U5 r L ('I ►21-7-/r2A--11-43
L4DS (Ai6
Building Inspector
6/86 and-vl
i(3 10:(5% Jown o/ Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 6.17,
LOCATION
Date �6 / 50 Permit No. 3� - 5�a
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
£ackfill
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- -
NC'
!Building I pector
6/86 and-vl
_louin of Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 6
LOCATION
g/ti"e--1/4-
gr-4;
Dated.F/ V, Permit No. (1 c, -5-Y2_
* * * * * * * * * * * * * * * * * * * * * *
1 4-4-5 -V PPR ED YES / NO
�F oting/Pier Forms � L .
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- -
,., -4-y,_4-r---- --ta
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,,,,ex_ ,ri,„, 0 c ,`d
cik-i13,22
Building Inspector
6/86 and-vl
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