1987-140 BUILDING PERMIT
TOWN OF QUEENSBURY Na 87-140
WARREN COUNTY, NEW YORK �
pil
Edward Fane
PERMISSION is hereby granted to
OWNER of property located at L inion Pine Lane
Street. Road or Ave. fb
in trie Town of Oueensbury. To Construct or place a
Solar Addition to dwellin
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 Oueensbury Building and Zoning Ordinance_
t . OWNER'S Address is pinion Pine Lane
0
Queensbury , NY 12801 *7
b
2. CONTRACTOR or BUI LDER^S Name M & C Construction
F-�•
D
0
F'd
W
3. CONTRACTOR or BUILDER`S Address 0
Ft . Edward , New York "'
4_ ARCHITECT'S Name
5. ARCHITECT'S Address
B. TYPE of Construction — (Please indicate by X)
(x) Wood Frame l ) Masonry { 1 Steal { 1
r
rs
7_ PLANS and Specifications o
16rxl6l per plot plan , specifications and application submitted , FillNo. 4
a. Proposed Use
r✓
Solar addition for one family dwelling
lip Go
,.-.
cn
PT{7vember 1 19 87 a
20 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES 1pi
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of oueensbury before the expiration date.) o
0
PEI
Dated at the Town of Oueensbury this
loth. Day of A ril 19 87
42071
il 61 4009 for the Town of O.ueensbury
SIGNED BY
Building and Zoning inspector
�rovvN C)F QUEr aNS8u"`Y
TO BE COMPLETED BY BLDG . DEPT . [MEN
NOT
O
l+lll,Il:T}I,,,JJJ'�
Application No . �1
own 0 ueen3hurry Permit Issued 19 I ppp p 4(�(�7
BUILDING and ZONING DEPARTMENT Permit Expires 19 4 APR 8 198
Bay and Haviland Road, R.D_ I Box 98 Zoning Designation BUILDING & CODE DEPT.
Oueensbury, New York 12801 Variance No . ,fix y r
Site Plan Review No .47
d Approved
APPLICATION FOR
EU I LD I NG 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 done in accordance with the description , plans and specifications submitted, and such
special conditions as may be indicated on the Permit .
�-7 ' /
The owner of this property is :
P . O. Address G�_�-�'' Tel .
Property Location : W411 ,e N tJM/ Tax Map Na .
Street number or building lot number
Subdivision name ( i£ applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name / P . O . Address Tel . No .
Name of builder LV7XV.C3 Address / ,. Z''!✓ .0-4 orw Tel .
Name of plumber 7 Address Tel .
Name of mason C /f , 7 Addressu / I Tel . ' +'
NATURE OF PROPOSED WORK : ZONING INFORMATION :
Co struction of a new }wilding * A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
dition to a building * drawn reasonably to scale and attached hereto ,
Alteration to a building showing clearly and distinctly all buildings ,
i (no change to exterior dimensions ) whether existing or proposed and indicate all
Other work (describe) set-back dimensions from property lines . Give
* street and number or lot number and indicate
* whether interior or corner lot . Shaw 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 �e ft X Cco ft .
* Existing building ( s ) Size.2 s( ft X I es ft .
*
PROPOSED BUILDING AND USE : * Existing building ( s ) Usezjer5 e 42:iM. e
Size of new structu e A!9 ft x 1,6ft
ounda on-�j' !er 1 /crawl/partial/full Proposed building , distance from property line
circle one] ,r * Front yard le 0 ft Rear yard � <) ft
No . of stories (habitable space ) /
Height ( grade to ridge ) 5 ft , * Side yards E, [� ft and } � �ft
H
He * If on corner , setback .from side street ft
If residential , no . of families
Now of rooms ( excluding baths ) * OCCUPANCY INFORMATION
No . of bedrooms
No , of bathrooms PRIMARY BUILDING -
Primary heating system �ne family dwelling
* Two family dwelling
Type of fuel e9kI * Multiple dwelling / Number of units
No . of fireplaces to be installed Permanent occupancy
Will a wood stove be installed?
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 bed
Split level Old style B ow
Cape Cod Cottage Other ' * ACCESSORY BUILDING-
Colonial Row wn H se * Detached gara one car/ two car
( CIRCLE ONE PLEASE } / �rj�ftl * Attached gara one car/ wo car ,,Z car
* * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ F e) , 6 & t)
- - - - - - - - - - - - - -
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED !
Form EPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of construction , wood Pram fire safe , etc .
Will any second-hand or ungraAed lumber be used? If so , for what ?
,? 62
Foundation wall material r Thickness ez
Depth of foundation below grade (to bottom of footing ) . � ff
Will there be a cellar? 16 Heated or unheated? F18r r sq. footage Y' 4fr 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 slope flat/shed/other Material of roof
Size , wood studs "X spacing "o , c . length ft ,
Joists ( floor beams ) lst . floor "X spacing "o , c . span 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-engi eered spacLucr "' o . c , span ft .
Exterior wall finis Of what material?
Interior wall finish o
If a garage is to be attached , describe materials to be 44ed 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 A F F I D A V I T STATE OF NEW YORK
eensbury
Warren
County off 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 - _?!e'< '�o ' !_
Owner , owner ' s agent , archicect, contractor
day of 19
Notary Public , Warren County , N . Y .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * IF * * * * * !r
SPECIAS, CONDITIONS OF THE PERMIT :
* n
Of �iee¢ ns� ur�
pWh ❑E�'PFITM�N1
and ZONING t BOx 9$
BU1tD1NG aailar►d Road, B"� ti 2gp1
Bay and hi York
(]ueensbury. 'New
C TC7R , REPORT �(]
gU i +�O I NG I NS APP/W;
E `
NAME �� r t IJ
LOCATION _
t4O
Ming/Pier Farms
waterproofing
sac,, ill
Framing
Roof i-nI9
Siding - -
Nasonry Veneer ----�` r�- --
gpurih plumbing_ --�--
P.elief
Ext - parches __�- --~-
Finisiled Floors --- �r--_� ---�
Stairs Railings -----_ �--�
Cellar Drain 'Cite
Concrete Floors
l ` irelroofing
poor Closers
5make Detectors
Chiumi ey
Ire SL3I,RTICR`� =
Foundation
F1p(�rS
wills ;
Ce Llinq ICAL -INSPECT-LO14
F IN NL EI ECTR �---� �-
AYP itULL
ItIVEMNI Buildinf� �urve�"
Final .�--�"`�--�
inspectl°n
(call when
~r dy7
{3ex sn'hedu`led
VLema�[ ks
a
a to
fluildi-x►9 lns � . ; . -
V - `'`l
r30 �c�-� p �eeOn -,I "ry
cf 70 �i
IF BUILDING and ZONING DEPARTMEhiT
Bay and Ha bur d D, I Box 96
Queens Y NewYork
INSPECTOR
01
REPORT
BUILDING INS
NAME eC
LOCATION 24V
y` Permit I3o
Date -
* * * * * * * * !Qt?
APPROVED - YES
X
Footing/Fier For[ns
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
P1'bg - Fixtures
Gar - Fireproofing
Door Closers
smoke Detectors
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling
FINALELECTIRICAL II3SPECTIOPY�_ �
DRIVEWAY AP'PROV L111 ~ .
Final Building
action
Nex (call when ready )
t scheduled insP
t
Rernarlcs-
PL
Building Inspector
b 86 and-vl