1986-600 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-600
WARREN COUNTY, NEW YORK
_.qq si ( (40
PER MIS ON is hereby granted to Dr. Alfred Kristensen
L;t/OWNER of property located at Yorkshire Drive ' Street, Road or Ave.
Adding veranda to dwelling
in the Town of Queensbury,To Construct or place a
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. n
m
1. OWNER'S Address is
RD #1
Glens Falls, New York
CD
0
2. CONTRACTOR or BUILDER'S Name to
CD
David J. Brown 0
3. CONTRACTOR or BUILDER'S Address
153 Putnam Road
Schenectady, NY 1-c
0
n
4. ARCHITECT'S Name m
n
m
ty
5. ARCHITECT'S Address N•
m
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No.
19'3"x16'6" veranda added to existing dwelling - no tie in a
per plot plan, specifications and application submitted. a
1-4
8. Proposed Use o
One-Family Dwelling (veranda added) rt
0
m
$ 15.00 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 04
town of Queensbury before the expiration date.) ..
Dated at the Town of Queensbury this 19th Day of- September 19 86
SIGNED BY M�" a' �.� for the Town of Queensbury
Building and Zoning Inspector "�
• TO BE COMPLETED E•Y BLDG. DEPT. 1
f7�] / Application No. _- _____ 1
uin f Queeniburey Permit Issued 19 I :r.
BUILDING and ZONING DEPARTMENT Permit lsxpiles 19 .�� ill
Bay and Haviland Road, RD. 1 Box 98 ZoninH Designat: n ; L ' ' !? ` '7 I
Queensbury, New York 12801 Variance No. ' ;
! U L 3- Site Plan Review No. 1 Dep. j 17
Approved b k A.M.6 e- /5-� P.M.iAPPLICAT ON FOR ' 61/7 1� ,g 1f 33� 1P13 Y):Lr41314151 ,
s
BUILDING AND .ZONING 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 dope in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The 'owner of this proper y is: gf, //r�J 10,1 . er)
P.O. Address 07/SAW *,,ec (5 c VG�/��i1e° if z iS Tel. 7 09U,
Property Location: „`aw as alive Tax Map No., / /
Street number or building lot number
Subdivision name (if applicable) sta.giecoo AG R 6 S
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDSJ BUILDING CODES IS:
Name P.O. Address Tel. No.
' Name of builder Si,,.) ah(.e, Address Tel.
Name of plumber Address Tel.
Name of mason plumber,,,,
Arreil Address /,1orlP/l/6- !' ,X 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 d nsior}s) * whether existing or proposed and indicate all
Other work (desc ibe) * set-back dimensions from property lines. Give
S ' * street and number or lot number and indicate
whether interior or corner lot. Show location
• FOR DEMOLI ION PERMIT, STATE SIZE AND *
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
I , * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /9J ft' X �/ ft.
* Existing building(s) Size 6 O ft X ;V ft.
*
PROPOSED BUILDING AND USE: * Existin— //
` r� g building(s) Use 4a4G ,,t ;), //p a,/
Size of new strut e Orft X/ �ft
Foundation-pier/slab crawl/partial/full, . * Proposed building, distance 'from property line
circle one) *
* Front yard ' O ft Rear yard /$cs ft
No. of stories (habitable space) * Side yards ' 700 ft and • /Q D ft
Height (grade to ridge) ft.
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 * PR tARY BUILDING -
Primary heating system' * One family dwelling
' Type of fuel * Two family dwelling
No. of fireplaces to be installed * ultiple dwelling / Number of units
Will a wood stove be installed? -- * V 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? e� � pert
Split level Old style Bungalow *
Cape Cod Cottage Che' )r * ACCESSORY BUILDING-
Colonial Row Town House * retached garage/one car/ t. � -- ./ car
( CIRCLE ONE PLEASE ) * V Attached garage/one car/ two c... / car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $-n T'0 Qp * '
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' fram2, fire safe,etc.
Will any second-hand o . - -:.ed lumber be used? If so, for what?
e)
Foundation wall material rOfrfC74,, Thickness `Vero 4""
Depth of foundation bolograde (to bottom of footing)
Will there be a cellar? Heated or 'unheated? -- Floor sq. footage sq ft
• Will there be a basemen ? Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped fla /shed/other Material of roof
/
Size, wood studs "X " spacing — "o.c. length — ft.
• Joists(floor beams) 1st. floor "X spacing "o.c. span ft. 1 .,
Joists (floor beams) 2nd. floor "X spacing "o.c. span ft.
Overlays(ceiling beams) "X "- spacing "o.c. span ft. ) i�OLay��
Roof rafters ms "X S " spacing j(o' o.c. span/e) '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? 7Tf so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will' a flue-lined chin ey be installed? --- Height above roof -- ft.
Depth of chimney founcation 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 County of Warren • AFFIDAVIT STATE OF NEW YORK
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-,shal-l-he co,==pl--ied-:.;--t'i_,_,..heather. speci-f.-ied or -not-, and that-such work is --
authorized by the owner.
SWORN TO BEFORE ME THIS Signature____ G
Owner, own i s agent,arcnitect,contractor
day 'of 19
•
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
.
•
•
•
I '
•
By- hid
_louin of Qucenihupe9'
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 16/1-0-1-t-KnI/Le_gZ,V---7).
LOCATION— / e
Date(Q/y- / 0 Permit No!: (0_ ( c) 0
APPROVED - YES / NO
Footing/Pier Forms .
Foundation
Waterproofing
Backfill
L/ raming tfJ
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches ,/ !I
Finished Floors `f
Interior Trim
Stairs & Railings /
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures r
Gar. Fireproofing j
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION ,
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
•
-4/01(2)
Building Inspector
6/86 and-vl
514k4_UJDCpIkv \P\ti
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c �v1L,I. L/
own oueens urc�
lb' .M BUILDING and ZONING DEPARTMENT
!! , Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
Ca-AA4Y*H
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION yoz..44.4:x. .
Date 7 36 / 0 Permit No. (o _ jp co
* * * * * *_ * * * * * * * * * *I * * * * * * *
APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing '
Backfill
-,aming D
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 k
Door Closers
Smoke Detectors
Chimney
TINSULP;'PIftr3 X Foundation
)(Floors / \ 'd '
Walls
Ceiling
FINAL ELECTRICAL INSP CTION
Final Building Survey
Next scheduled Inspection(call when ready)
;i
Remarks- -
Ai(ku°z_o✓/ ri4 lb Li0 ,6ubtferc /7)4--7_
/ 0 cm,0,41 7OAf l 5 6 1
,. 64 c/os- ( it-ri..4-c.- I`6 '4 (sSrO.f) To
Cjil I Ai(1. U1r ;7 4 z I?V&. 7774 5
i/ti-5 f ber t cu/ tAJ U-4- t i -(-r l 4-U oX.
�eLlAii Ihe& ai I (rI 1 i /- 4- . btirr -ct
Bui ding Inspector
6/86 and-vl ,
CC77
Down of Queeniburcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
J /��/
�i'a�U"LYJ2
LOCATION `
Date /?/ . Permit No. '. U Od
* * * * * * * * * * * * * * * „* * * * * * *
✓ = APPROVED, - YES / NO
Footing/Pier Forms I�
Foundation ;f
Waterproofing
B, ckfill
r/raming LD
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim `
Stairs & Railings \KKK,
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- -
I
Building Inspector,:
6/86 and-vl
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION C24, r G� /LL4
Date 9 / 36 Permit No 3(0 - 1.0D 0
* * * * * * * * * * * * * * • * * *, * * * * * *
✓ , APPROVED - YES / NO
mooting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches /'
Finished Floors r/
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- -
if,44/6/17;=:)
Building inspector
6/86 and-vl
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