1987-116 BUILDING PERMIT
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TOWN OF QUEENSBUR'Y No. 87-116 W
WARREN COUNTY, NEW YORK
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Vesa Suhonen ro
PERMISSION is hereby granted to
OWNER of property located at
2 Pinion Pine Lane Street, Road or Ave,
Addition to dwelling (screened porch) t.
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. i""
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1 . OWNER'S address is 2 Pinion Pine Lane
Queensbury , New York 12801
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ONTRACTOR or BUILDERS Name
Kevin C . Speck
ACTdR or BUILDER S Address pg #5 Sox 1$0
Glens Falls , New York
4. ARCHITECT'S Nance
5. ARCHITECT'S Address
' 6. TYPE of Construction — (please indicate by X)
f Yy Wood Frame I I !Masonry f ) Steel ( !
7. PLANS and Specifications
16 ' xl2 ' per plot plan , specifications and application N a
No. n 911A
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S. Proposed Use
One—Family Dwelling (screened porch added)
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10 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Nov ' 1 1S $7 �
$ a
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the CM
tcwvn of Queensbury before the expiration date.]
April 87
Dated at the Town of Queensbury this 6 t h Day of p t g
SIGNED BY � ` Z ` �� for the Town of 0ueensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEFT _
/ Application No . TC7WN OF QQIJEErNBD%�
�?Ofv a o/ Q"ee" 3 aue►'y Permit Issued 19 2 � P �l t
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BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation APR
2 iQ 7
Oueensbury, New York 12801 Variance No , Ti #�17 fw ��+V
Site Pla Review No . `
BUILDING 8c CODE DEPT.
APPLICATION FOR
BUILDING AND ZONING PERM I T
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 .
--------------4i---_ ................-_-------------- ...t E .. �. Ig..........------- ---------
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The owner of this property is : vle 'sa_ S { ybPjnP 3
P. O. Address C y e Tel . BOO
Property Location :__ DLhXe C& rS P Tax Map No . f f
Street number or building lot. number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P . O . Address Tel . No .
Name of builder i I Y ����Address, le Ip
!!j tio)e �,' l" S FLAS Tel .:2%D ' V%Sr ff9_�
Name of plumber Address 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 ,
:iZAddition 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
* 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 ft .
ft X
* Existing building ( s ) Size ya'y tt Xu;24r�ftft
PROPOSED BUILDING AND USE : Exi ting building ( s ) Use
Size of new a_ructure L!r ft x 1.2ft * [�,�
Foundation pier slab/crawl/partial/full 'r Proposed bulidingp distance from property line
(circle one ) d* ft
� ■
No . of stories (habitable spa fce ) ._�J__,- * Front yard
yards l;"Sj, ft andd ft Rear yar 11
ft
Height ( grade t ,�o ridge) / ` ft . * If on corner , setback from side street Tft
If residential , no . of families /
No . of rooms ( excluding baths ) / * OCCUPANCY INFORMATION
*
No , of bedrooms PR RY BUILDING -
No * of bathrooms =Vp e family dwelling
Prima heating system
Primary g 1. �, Two family dwelling
Type of fuel — Multiple dwelling / Number of units
No . of fireplaces to be installed
Permanent occupancy
Will a wood stove be installed? N0 7 Transient occupancy
Central Air conditioning? �'
Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Other
Ranch Contemporary Log cabin If addition , what will use be?
Raised ranch Mansion Duplex
Split level Old style Bungalow "
C od Cottage other � ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/ car
I.
* * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ - _ - 1 � - - - - - - - - -
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED !
Form BPA 4/66 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire sa€e , etc . W bpd
Will any second-hand or ungraded lumber be used? If so , for what ? -
Foundation wall material Thickness
Depth of foundation below grade (to bot o
__ oting ) (, :for"
Will there be a cellar? �� _Heated or unheated? Floor sq. footage _sq, ft
Will there be a basement? �0W1ll any on, be used as living space ? Yes( If so , what pa ? `sq . ft . - - Type of use? tiSG+�P y,y,-� p rj,
Type of roof sloped lat/shed/other Material of roof + `
Size , wood studs "]c—_'" spacing. c . length Jr ft .
JOiSts ( floor beams ) 1st . floor
"X spacing_�(�_"o . c . span€t .
_.__.�
Joists ( floor beams ) 2nd . floor Pox " spacing "o . c . span ft .
Overlays ( ceiling beams ) "x 01 spacing "o . c , span ft .
Roof rafters FP_m2 spacing_J(0 o . c . span ft .
Roof trusses (pre-engineered) spacing "o . c . span ft .
Exterior wall finis' what what material ?
Interior wall finish
If a garage is to be at ached , 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 1�!1 i�
County of Warren A F F I D AV I T STATE OF NEW YORK
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 he complied with, whether specified or not , and that such work is
authorized by the owner .
SWORN TO BEFORE ME THIS Signatu _ ___
day of 19
Owner , o - er' agent Ar izect, contractor
Notary Public , Warren County , N. Y .
SPECIAL CONDITIONS OF THE PERMIT :
By
r Jo+wn a� ueen ur
SUYtC71NG and ZONINr., DFPAF1TME r
Say and Haviland Road, R.D .
Dueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME �•
LOCATION Af yfmf 11
y Permit
Date. * * * « * *
* * * * * * * *
APPROVED Nil
- YES
Footing/Pier Forms
Foundation
Waterproofing
9ackfill
F ram i-ng
Roofing
siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim�_��
Stairs & Railings�_��
Cellar Drain Tile
Concrete Floors
7Plbc3 - Fixtures
Gar _ Fireproofing
Door Closers
smoke Detectors
Chimney
INSULATION*
-Foundation
Floors
Walls
Ceiling INSPECTION�� �----
FINAL ELECTRICAL
DRIVEWAY APPROVALJ-�-�
�LFinal Building survey
Next scheduled insP
ection (C811 when Teady)
Remarks-
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Building Inspector
6,r'85 md-vl
floworl of Qmeenjl"ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 BOX 98
Queensbury, NeW York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date () / permit. No I?
* * IN f « * rt �" No
+
APPROVED - ICE
Footing/Pier Forms qaxtf
Foundation
Waterproofing
aackfill
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
Next sctredulecl inspection (call when ready
Remarks
ui ding Inspector
6/86 and-vl
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