1986-669 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-669
WARREN COUNTY, NEW YORK
C1/ 6/0
PER SSION is hereby granted to Sally A. Ball -
OWNER of property located at Ppohn St. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (screen porch)
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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.
1. OWNER'S Address is 23 John St.
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Ed Whiting
3. CONTRACTOR or BUILDER'S Address
RD #1
Glens Falls, New York ^,
4. ARCHITECT'S Name o
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications y
12'x16' per plot plan, specifications and application a
No. submitted.
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8. Proposed Use N 0
One—Family Dwelling (screen porch added) o
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 87crp
(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.)
Dated at the Town of Queensbury this 9th Day of October 19 86
SIGNED BY 7nG,d - Ntiz for the Town of Queensbury
Building and Zoning Inspector
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- - TO BE COMPLETED BY BLDG. DEPT.
c7 // Application No.
• �otun oi q�ueenibury Permit Issued 19 WMOF U 1JFZY
BUILDING and ZONING DEPARTMENT . Permit Expires' 19 i �' • ,• Fil
. Bay and Haviland Road, R.D. 1 Box 98. - Zoning Designation .F( �1 -
Queensbury, New York 12801 Variance No. ,... , SE'P 2 3 1986
Site Pla Review No cry I, 17.
/02. — l l ({ .3/ Approv b 6til9;7 )11VI M`q1C3
APPLICATION FOR
BUILDING AND ZONING PERMIT I
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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. ,
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The owner of this .propert is. , 4' ' , . /7il--
' P.O. Address S'i.�i ' - �! ��1 .;T. =` . /'�'!'e44 Falk k a t qv�S u, Tel / 2
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Property Location: 17± ' Ci1' /' Z D 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:
5-19/av 1 1: . ggiC ;i3Lere,,,,s.-/-..ip„F,aL
Name I P.O. Address Tel. No.
•Name of builder Ed iJh/'fi/z, , Address Sohn vs/ �e- Tel. 77 'ge-I Qy
Name of plumber Address f 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
J e % • -PaP • . . • • *•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.
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* COMPLETE INFORMATION REQUIRED BELOW.
. * Size of property /U v ft X 4267) ft.
. * Existin building(s) Size 4/6 ft X Z� ft.
• * /t d us. . . .— ,2D )5, a,, c19avvv
PROPOSED BUILDING AND USE. * Exis•
ting building(s) Use .
Size of new str-uct re. ft /‘ ft
Foundation-pier/ labb �, X crawl%partial/full * Proposed building, distance from property line
(circle one) * /
No, of stories (habitable spacer
I * Front yatd ' ' v ' ft Rear yard //V ft
Height (grade to ridge) ' AZ - - ft: * Side yards 3�'� ft and �/� ft
If no. of families * If on corner, .setback from side street ' j�;, ft
No. of residential,,rooms(ecluding baths) ----- f * OCCUPANCY INFORMATION
No. of bedrooms * PRIMARY BUILDING -
No. of bathrooms ' `q
Primary heating system - -- . . . ,� )� One family dwelling
* Two family dwelling
e o . fuel *' Multiple dwelling / Number of unto
Itoi of f#oplage0 tb be nstaled .. '-..,„,„
___ * Permanent oPGuPanoy
Will wQed stove b in .a] d? *. Transient ocou ano
Central Air Conditioning? * Business
BUILDING STYLE, PRIMARY STRUCTURE K," Industrial
Ranch Contemporary Log cabin * Other. • ' ,
If addition, what will use be._
Raised ranch Mansion Duplex * „ / � .
• Split level Old style Bungalow * ���r���' iV ��`c� �P �i'X d�'1
• Cape Cod Cottage diraDi w/* ACCESSORY BUILDING- •
• Colonial -Row own Hou & ak.±.2 Detached garage/one car/ two car/ car .
( CIRCLE ONE PLEASE ) *' ' • ached garage/one car/ two_ car/ • car
* * * * * * * * * * * * * * * . * * * ' ' 'Private storage building. ..
ESTIMATED MARKET VALUE OF - *• ' Other
CONSTRUCTION $$ G Gv * .
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 - •
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BUILDING SPECIFICATIONS:
Type of construction., wood frame; fire safe,etc.
6. >
. Will any second-hand or ungraded lumber be used? If so, for what? /
Foundation wall material 0 J604— CS Thickness g. //
Depth of foundation below grade (to bottom of footing) /1 4'pp1-
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 ro�Q,f,.�''''{{,,,,s ped/flat/shed/other Materialoof. roof ��., 5 4./4(y `tea
Size, woo `Itids 4 "X if. " spacing "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 f.t..
Overlays(ceiling beams)B e2 "X " spacing / , "o.c. span / , ft.
Roof rafters / "X /� " spacing AV o.c. span /6 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,—descrbe-materials—to--be--used- for F-IRE—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 A F F .'7 D A V I T 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 atrue,and
complete statement of all proposed work to be done fon the described premises and that al'l -
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
H . authorized by the owner. ,
4.(":"
SWORN TO BEFORE ME THIS Signature ' " _
wner, o is agent,architect,contractor •
day of 19 •
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Notary Public, Warren County, N.Y. .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * '* * * * * * *.
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SPECIAL CONDITIONS OF THE PERMIT:
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C ctl l�� II1Ii L 18. a '.�s 49
Jo�un o� Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME \JctjI1 1341
LOCATION a3 Jphh ST•
Date J f li 3 /5 6 Permit No. (, _G 4 I
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
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 L
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
9;/2 ,__ C�66,.
Jorun f Queenslury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING
INSPECTOR ` S REPORT
NAME //-� C-
LOCATION
Date /() / -- Permit No. U to - 6)
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
XBackfill
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
DRIVEWAY APPROVAL
Final Building Survey
rrZA AA I Mil
Next scheduled inspection (call when ready)
Remarks-
�� l 0 O l C LC--
Buil iing Ins ecto
6/86 and-vl
c�9/ a /?C a : 36 ( �
Down of QueenJtUry
BUILDING and ZONING DEPARTMENT
sf)14)
I1. Bay and Havilarid Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME 3Ci `1L/ act•
LOCATION f7krt. S i
Date 7 /3d on, Permit No. 84 _( 9
* * * * * * * * * * * * * * * * * * * * * *
i/ = APPROVED - YES / NO
( (Footing/Pier Forms
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- -
gt (an- (AA3
Building Inspector
6/86 and-vl
Ri 060 Pam 8'
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